7025 YEW ST 2019-05-22 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION 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 SITE INFORMATION PROJECT ADDRESS:"—/C)Z5 tritotg 5 BUILDING AREA(if residential,new construction,remodel:or addition) SF BUILDING TYPE: SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELEI TII;ICAL APPLICATION IO P� T1 R CONTRACT PRICE OF WORK:$ cp ,enc NUMBER OF DEVICES(if low voltage):FIRE ALARM? 0 YES D NO ASSOCIATED BUILDING.PERMIT#(if a placable); DESCRIPTION OF WORK: i in !t e C ,�' � less CONTACT INFORMATION OWNER NAME: ~ta-.i ci. 5InKt.er TENANT NAME If C smmerclal), OWNER MAILING ADDRESS: STREET .t Z,5 '' St city 6,jer STATEitt* ZIP gtg2o OWNER PHONE:142,5 2,530 GPS.J� OWNER EMAIL: CONTRACTOR NAME: L' "Yt I.2 0 CONTRACTOR ADDRESS: STREET t7 1Li i5 " J 1 ! oiTy " `` STATEzw 2 ,I CONTRACTOR PHONE: ► ».twit • 6 CONTRACTOR EMAIL: ,0 `A8.44. ' .441i1 44 ; / 41! , 4 t/YI COCONTRACTORUC.*REQUIRED):*REQUIRED):Ciiihe-Wilh%—lid?t CITY OF EVERETT BUSINESS LIC.#(RECtU3REI)). * • PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: L-f a 59 D.. I :1 C. fwONT ACT EMAIL: r ►I '' �� A AGREEMENT:I hereby certify that t 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 properly 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 PERMIT# petbiLtut,t7 5ct •to .17 E O9 -- OS g Owner/Authorized Agent Signature Date (Revised 9/23/2016)