602 VIEW RIDGE DR 2019-04-17 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION ,� ,' rte'" .,.-, CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,:WA 98201 (P)425-257-8810 ( FAX 425-257-8857 I (E)everetteps©a evverettwa.gov I www.everettwa.gov/permits PROJECT ADDRESS: 6. 00) V" _) v.- i+ i di , BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED gtrR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: CONTRACT PRICE OF WORK:$ SZ °C3 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES ❑NO ASSOCIATED BUILDING PERMIT#(if ap•licable): DESCRIPTION OF WORK: v . G---` q- r 6 C, IL, .- nG C. ptt-41/11) OWNER NAME: d TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET .�/Q�q V r j(l 1.n" CRY t t -e-i e et- STATE tuk. ZIP q g OWNER PHONE: L.-/e J 0 a-3- -7 STI- OWNER EMAIL: CONTRACTOR NAME: i' l rr 'C .S+r)yr iNte td t.-r 1`--J4 t. (— , s� CONTRACTOR ADDRESS: STREET _ Ti77 I ( - f) .LJi 1 V )t _..- any irrta r C7 J I STATE fes.,.. �/.'.,,�,�ZIPee: CD ? 76 j. CONTRACTOR PHONE c a L4t (CONTRACTOR EMAIL: i119 rd8h (,(it 'C � har-- CONTRACTOR LIC #(REQUIRED) i p t?'d / 7310 CITY OF EVERETT I3USINESS LIC.#(REQUIRED): 0411c)--711t/ PRIMARY CONTACT: 0 OWNER IONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE; plant I c `T - ' . 1'10- CONTACT EMAIL: Lid, .3 3 5 -L./A:9.4 AGREEMENT:I hereby cedify that I 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 laaw regulating construction or the performance of construction. That lam authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only ----it l -r ' PERMIT# E 3 ( Owner! uthorized Agent Signature Date (Revised 9/23/2016)