2515 WETMORE AVE 2019-05-22 - Laserfiche WebLink

LLECTRICAL PERMIT APVLICATION CITY OF EVERETT PERMIT SERVICES 4:4"77 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 J (E) everetteps@everettwa.gov J www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: (`j ./e l/IAo>26 Aki--t BUILDING AREA(if residential,new construction, remodel,or addition) fPw.Dck E l SF BUILDING TYPE: gSFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: 4j Qen*;cA. ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ cf z'5Z. NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES f*NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: kart_ 14ek - - r-‘ vtie4-er 1�o.C� / Ac(f� 44i- Pe1i" C CONTACT INFORMATION OWNER NAME: LA-122.v t 3 6 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 2_4—t f,,/E771-1 028- /9v- crrr 5J77 STATE 1vf3 ZIP 97 CS OWNER PHONE: qZ5 i; 1-( 4'Z 5. OWNER EMAIL: CONTRACTOR NAME: p/.gS rCo 1 Le , CONTRACTOR ADDRESS: STREET 6/3 L 7 �!�, /t ci rY 2/I y�L/r. . STATE r,U/< ZIP 9t2_,7 0 CONTRACTOR PHONE: L/ -i')9— eta 7, CONTRACTOR EMAIL: E✓LS1 ,'7 eLe- ) t-5"-- CONTRACTOR ;CONTRACTOR LIC #(REQUIRED): (.tJarc-rL92ti %C/ CITY OF EVERETT BUSINESS LIC.#(REQUIRED)• b 3 PRIMARY CONTACT: f OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: £/L-c -515- O CONTACT EMAIL:.e y 4 Rnv AGREEMENT:T 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 tam 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 FEE of) lo . > J PERMIT# E 1612 " Ire& Owner/Authorized Agent Signature Date (Revised 10/12/2015)