5002 S 3RD AVE 2019-05-23 - Laserfiche WebLink

ELECTRICAL PERMIT im=1LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 ( FAX 425-257-8857 ] (E)everetteps@everettwa.gov] www.everettvva.gov/permits ,. ::. .. . . . PROJECT SITS1TIE INFORtU1.ATIAN:�. • .._ M ..... .... __. . : ; • PROJECT ADDRESS: 5709 Gj 7j kit) Ate. L BUILDING AREA(if residential,new construction,remodel,or addition)(7�carr°e a O4 SF -71/0 ' BUILDING TYPE: 0 SFR-DETACHED SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: y- • ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 3 k_ • NUMBER OF DEVICES(if low voltage): hJ/ FIRE ALARM? 0 YES 5141O ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: .11 //lce e„0„. i,, eeci toy, COITACT. INFORiVIATION. OWNER NAME: 111 /°r /,�do / ' A I/.JG,, j TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 5 3 /2 D L. ve 1 CITY , �. I' / STATE ZIP OWNER PHONE: 5- ... /„��. -76,0.-11)75 OWNER EMAIL: CONTRACTOR NAME: fr/Wie Z 1 CONTRACTOR ADDRESS: STREET X/I Ll Lf .")62_ A E CITY /74.6)1 STATE Ale ZIP 9�c?7o CONTRACTOR PHONE: !% CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED) r1 fl1 95 A w CITY OF EVERETT BUSINESS LIC #(REQUIRED): 09? PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:/ /� CONTACT PHONE: 9d / /6 J !J5`'/ i 7 ) ./7 ✓a., CONTACT EMAIL:nlPi'J`YIe40410e_—e%G4/'6. 1 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 ordinance overning 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 o 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE Ido -- PERMIT#E �r-a 3 - O Owner/Autho zec)Agent:Ignatu - Date (Revised 10/12/2015)