1910 RAINIER AVE 2019-04-29 - Laserfiche WebLink

000)46.1 ECTRICAL PERMIT APPICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 j (E)everetteps@everettwa.gov j www.everettwa.gov/permits PROJECT SITE INFORMATION Cc,� /� PROJECT ADDRESS: 1910 �1 Tt i', '' /ice E� c /s 2V BUILDING AREA(if residential,new construction,remodel,or addition) /ZOO. F BUILDING TYPE:, SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: C'e-f?C e ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ (Q V OO NUMBER OF DEVICES(if low voltage): FIRE ALARM? Al.YES 0 NO ttAl/eteS5 AJe.,54 o ei'' S' je4-rock ASSOCIATED BUILDING PERMIT#(if applicable): f ,sem DESCRIPTION OF WORK: C214._ (�1 C9.,rq� ^��' j' �1,,�°1t^si ' 112.)-44„ . . /5-1: ati4d. lajt.4 IfieZ w7ed Ne.agrure_ v-0.9,51dri citte.o Z VCX-Nr."' 4:clr CONTACT INFORMATION OWNER NAME:t.:};/1;a04 Ols-ept TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREET.,yv1 CAS 106 CITY [[�� C�, ) STATE IP OWNER PHONE: Z.38 --e81 L OWNER EMAIL:!i`1a�C /Sel4 9e 40 �� Y CaP14 CONTRACTOR NAME: (94k)/01: 2 4k)/V CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: *OWNER 0 CONTRACTOR 0 OTHER(Please Specify) t� a CONTACT NAME: CONTACT PHONE: 92s---238 - 38 15 buff LLQ ik-Al t:it✓Ji CONTACT EMAIL:LA/...A.4 A,.40_56sr i f a) COrj AGREEMENT:!hereby certify that!have read and examined this application and know the same to be hue 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 property to pedonn the work for which application is made and comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 18 E 1 o -1 $ O er/A orized Agent Sign. .� D to (Revised 9/23/2016)