1517 ROCKEFELLER AVE 2019-04-29 - Laserfiche WebLink

"IP— ELECTRICAL PERMIT APPLICATION ` _ CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 I (E)everetteps@everettwa.gov I :www.evereftwa.gov/permits t prowled moi, 0'451 1 z ,'"" u -Y4.----,4-. -,,,;.4:.•,,,,A41,44-;...,.....44,4.� '� ,,s s PROJECT ADDRESS: I )I Roo_- ► BUILDING AREA(If residential,new construction,remodel,or addition) i 500 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: s4I el . }-l''det,V CONTRACT PRICE OF WORK:$ 1 C. NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES .121/NO ASSOCIATED BUILDING PERMIT#(if applicable- DESCRIPTION OF WORK: tr . 4 k.v�c) ' " ) ' 1 3 w OWNER NAME: $; `i TENANT NAME If Commercial): OWNER MAILING ADDRESS: STREET 1 R/36_\<. .. 1 C crm c''C.i' w STATE L,A.D 44,, ZIP CI t ( OWNER PHONE: 02o4..-'-k-31 ‘-'1 )(3 [OWNER EMAIL: 'CONTRACTOR NAME: 4c)C(A 0...-V "1 C.Aer 10"0_4_ CONTRACTOR ADDRESS: sta r $ ) 'OJ 2 A ... CnY !A t Lk: STATE 1.k✓eh Zi' cit. f✓ I CONTRACTOR PHONE: a -42,14- IA i 6 [CONTRACTOR EMAIL: t 1'14b,-(;),)_.1.C1, ,..V t4 ‘e,, . 0 rrif CONTRACTOR LIC.#(REQUIRED: -' F4,- ......1La ` CITY OF EVERETT BUSINESS.LIC.*REWIRED): 05}ZCD 's PRIMARY CONTACT: ❑OWNER - .10. CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ao 10,.L-( ''. 'l- -- to.. . °.-A Y 1 CONTACT EMAIL:` a ya4) .6. .. . Y ,,,,o_. , " AGREEMENT::I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws end ordinances governing this type* of work will be completed whether specified herein or not. The granting of a pen?*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 perform the work for which application is made end I comply with the State Contractors Law 18.27RCW end 288.200 WAC. City of Everett Official Use Only "" PERMIT# ': i i S014- I I & Owner/Authorized Agent Signature Date I (Revised 9/23/2016)