2713 WALNUT ST 2019-05-22 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION #111PPook ----A - 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 ADDRESS: X13 v)a,N,No S BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: I SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: 0 .0 t.� CONTRACT PRICE OF WORK:$ SOO `°° NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES gNO ASSOCIATED BUILDING PERMIT#(if applicable): �l DESCIIPTION OF WORK: A-1 ( 144 9/k- � , ,2vat1 5X le 20 /Zd l/ aide( ,s-/ i ff)44 R/72. 00NTAG"T 14040. 0-01 oN OWNER NAME: '1 11\ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1-1 1.1.) ,VV_ I\pj V `A4j,)... ^J( ,U t CITY STATE ell `V / ZIP OWNER PHONE: U L 1.51._ O�\� W EONER EMAIL: EEE CONTRACTOR NAME: �15\\\ -�:/k..\\k.-- CONTRACTOR ADDRESS: STREET \ 23 N Def 4,4\ i 4v CITY STATE CI.2 11:1", ZIP CONTRACTOR PHONE: �tiS 1\9 1 7 6\ l CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): U • CITY OF EVERETT BUSINESS LIC.#(REQUIRED): Il \\7' PRIMARY CONTACT: L�4,OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Li ZS 2_5 02 I CONTACT 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 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 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 P//3671e/O7 PERMIT# a / I�[b' 23b Owne/Authorized Ag: t Signature Date (Revised 9/23/2016)