2936 ROCKEFELLER AVE 2019-05-06 - Laserfiche WebLink

01/16/2018 08:21 #3104 P. 001/002 ELECTRICAL PERMIT APPLICATION . - CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everettepsceverettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:�. _ (,: ^�. /dA BUILDING AREA(if residential,new construction,remodel,or addition),,, SF BUILDING TYPE; Cl SFR-DETACHED Cl SFR-ATTACHED- Q DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: C/Q t4- _ ' ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ cOp NUMBER OF DEVICES if low volta•e): FIRE ALARM? ❑YES El NO - ASSOCIATED BUILDING PERMIT# if a••licable DESCRIPTION OF WORK: '` Ai! a A ,/ of , 6 V Al • 0 k # ( - 49U, Fll2r fa r/741: J • CONTACT INFORMATION OWNER NAME: £ T',r J./ ClG/TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREEr - 3. La C _f - OA 4 CITY ri/C14er STATE ZIP ,i 420/ OWNER PHONE: e 9 OWNER EMAIL: _ CONTRACTOR NAME: r'LAA./P 44-147 I SQL 1�r'/r CONTRACTOR ADDRESS: 6TRE>T (d / / CITY _ ! � f- / STATE .4 i► ZIP 41°J .021,6 CONTRACTOR PHONE: � - CONTRACTOR EMAIL: CONTRACTOR LIC,#(REQUIRED: A AA) /V L f CITY OF EVERETT BUSINESS LIC.#(REQUIRED):0/ -3 r PRIMARY CONTACT: El OWNER ❑CONTRACTOR Q OTHER(Please Specify) CONTACT NAME: CONTACT PHONE; 1123/ ,:26z.'W t*,1- % ? HA' CONTACT EMAIL: AGREEMENT.•I hereby certify that f 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 l am authorized by the owner of this property to perform the work for which application Is made and i comply with the State Contractors Law 10.27 RCW and 296„200 WAC. City of Everett Official use Only PKNIT� Owner hAdAgent S�naY a R to (Revised 8/232016)