1820 ROCKEFELLER AVE 2019-04-29 - Laserfiche WebLink

!LECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: ( `� D z„, BUILDING AREA(if residential,new construction,remodel,or addition) CtiR_3 SF BUILDING TYPE: SFR-DETACHED El SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ //JO Q NUMBER OF DEVICES(if low voltage): Z FIRE ALARM? 0 YES El NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: R, ,6 L.. © '- t -� �' /( \C CONTACT INFORMATION OWNER NAME: fitkV.....E. Sal t\ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET Po ROX 2 11/ /5 /� CITY g, .`t' la +� STATE i Iq ZIP 7808 3 OWNER PHONE: J —"To `,5-3,.5-(c) OWNER EMAIL: ��2� if Yv'IQ CONTRACTOR NAME: L.0-c uf,,v l Pc`f r'j4c , S ry G. CONTRACTOR ADDRESS: STREET /0 3 25 J(g 7 ' GE CITY 5y1 Q 1/I,O ell vc / STATE �v ez . ZIP 7-3p 9O CONTRACTOR PHONE: 2425-- 117 v CQ!moi O CONTRACTOR EMAIL: /C��(.t) k117./editC rt' C�Piot Wni r cowl CONTRACTOR LIC.#(REQUIRED): -C La I $ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):0 (p If 'lib PRIMARY CONTACT: 0 OWNER Ir CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: *� " CONTACT PHONE: ®( rJ cy- . 3 9 '] MCONTACT EMAIL: AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of taws 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 perform the work for which application is made and l comply with the State Contractors Law 48.27 RCW and 296.200 WAC, City of Everett OfficialalUse Only PERMIT# 1110•• 6h/5 Owner/Authorized Agent Signature Date (Revised 9/23/2046)