2210 VIRGINIA AVE 2019-04-18 - Laserfiche WebLink

ELECTRICAL u�PERMIT A4LICATION 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: 22-10 V t(' t , \ rc, Ave BUILDING AREA(if residential,new construction,remodel, or addition) SF • BUILDING TYPE: 14 SFR-DETACHED ❑+SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: R.e std ��1 ELECTRICALAPPLICATIO_ N INFORMATION CONTRACT PRICE OF WORK:$ r2 00 NUMBER OF DEVICES(if low voltage):. ----- FIRE ---FIRE ALARM? 0 YES EI NO ASSOCIATED BUILDING PERMIT#(if applicable): -- DESCRIPTION OF WORK: C -J-; ACX c-.r i. , vt.2,k,J .).ct --e. < C- c--ci Li;+- /t S- I( •cz <l C--1/4t` 1-u a‘ot r n^A CONTACT INFORMATION. .: OWNER NAME: .. C- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2'() v '1r l V`ck ,}rr2 /^ y� CrrY ev-e...`A. r STATE ` A ZIP 9s v 2 O I OWNER PHONE: 41 Zc- ?j to 7- ? /3 OWNER EMAIL: CONTRACTOR NAME: b Ol d . E k•2_e l ( ,c-Cl—k)i L• _ e_L C_ CONTRACTOR ADDRESS: STREET 23 6 I Mac)C s(If\ S)---, ( �j CITY 6� k/V STATE 4 ZIP v1 67_6 CONTRACTOR PHONE: (4ZS1 232 - 130 CONTRACTOR EMAIL: 8CA 37 e. (e C-(-<-;C e q•c"\-01 i I . C b t^'‘ CONTRACTOR LIC.#(REQUIRED): � C i')c c�Z e e S 8 2LIS y CITY OF EVERETT BUSINESS LIC.#(REQUIRED): s E 1 8 PRIMARY CONTACT: 40 OWNER M+ Jet CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: LI Zr= Z 3 7_,-- 13®j ki\ot-i-A- CONTACT EMAIL: c.,‘ ZA e C s-C'c0 c AA.ea . Wv� AGREEMENT:T hereby certify that!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 lam authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE . t CC) .....---_ PERMIT# '- --/Itt- /*& o.L-1-25 Owner/Authorized Agent Signatu / Da e (Revised 10/12/2015)