7510 OLYMPIC DR 2019-04-29 - Laserfiche WebLink

"lip, -ELECTRICAL PERMIT A LIGATION 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 INFORMATIONI PROJECT ADDRESS: —ZS r a cs t _ P ,c 0 r S F Cue-rye CT c�.A c a 2a3 BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ '3 d o:- NUMBER OF DEVICES(if low voltage):, FIRE ALARM? 0 YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: amu.,,f„er9 T Coe, -Cc"(Nes.G C.A. CONTACT INFORMATION. OWNER NAME: jC�sUlG, `TO•Cv.�f TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET -7 5 t CD ©((I.,,T„<,.` (\,r S"-f_ CITY E I'e_rett STATE ( \ ZIP 9`8�,� OWNER PHONE: S204 0 • L(583 OWNER EMAIL: CONTRACTOR NAME: K(rT„ Kt j CONTRACTOR ADDRESS: STREET CIO 2.SS (..„3vYt.e_col 4.,„„A Lc- 04- CITY Cjfl 6 41vvi.C�c•N STATE ()I.A- ZIP ct U Zc U CONTRACTOR PHONE: 3c,o, Cc, v . a c C CONTRACTOR EMAIL: (j Sn c.1 ",...,z ti to .p--o Lr=- Co v>� CONTRACTOR LIC.#(REQUIRED): ..ir(_tm.e{.Ir}EoO cc-Q CITY OF EVERETT BUSINESS LIC.#(REQUIRED):O3 23 e`� PRIMARY CONTACT: El OWNER v ` CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (.{2.4'.-�3 4:„... --?5 z3 (,C ic-c.\....-e4...\ CONTACT EMAIL: AGREEMENT:T hereby certify 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 law regulating construction or the performance of construction. That I am authorized by the owner of this properly 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 FEE PERMIT# 1�a_`-_, 3. S- 10 D 3 --6)-(0 Owner/Authorized Agent Signature Date (Revised 10/12/2015)