5110 W VIEW DR 2019-04-17 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATLON CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 57JO 14 viev O2 BUILDING AREA(' residential new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED70 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: /--�= "I / /4/--- ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 2 5-100 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: OWIZ75 ~ A/17-0,t5 ' ) 24 206 cert t CONTACT INFORMATION OWNER NAME: ET tor/limp f 4 A E.1 1L0 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ��/�1'��(/��/ Ate/�'lyyj, CITY gd ✓0'." - 2 STATE ZIP OWNER PHONE: gO�/WN�ER EMAIL: CONTRACTOR NAME: (r ?cycle� L CONTRACTOR ADDRESS: STREET //�(J�(37,0 � tL, Iv, // �/( �� CRY !✓/`l 'X4 Cv-b STATE /I4 ZIP ?OP- CONTRACTOR P CONTRACTOR PHONE: V..2,s7,2 0Z 8� -�-CjOyNTTRRACTOR EMAIL: ' CONTRACTOR LIC.#(REQUIRED): C-1 0 U�.J V 3CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 6611 PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: V0e—.a 302 3'0$ CONTACT EMAIL: 0..r.4551), G1/ .. cj1../.,Ci CrAgs9 AGREEMENT:T hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 4 D oo ----"\. . - / 10 PERMIT# /I Evyn - NI Owner/Authorized g:.• '-Ig,at re Date (Revised 10/12/2015)