10205 7TH AVE SE 2019-05-23 - Laserfiche WebLink

LLECTRIICAL AORLICATIION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 J (E) everetteps@everettwa.gov J www.everettwa.gov/permits PROJECT ADDRESS: (O z O 5 E BUILDING AREA(if residential,new construction,remodel, or addition) r€r-1 e C) se I SF BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: Regi .e YAC IELECTRIQAIL,APDL CA7`I!®N li !'F®RMAT9 e N CONTRACT PRICE OF WORK:$ 2 S oO NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES [ t0 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: E l e civ.c a l 5e,leg i C.e- cp o,n C n:a rl cp • CONTACT.iNFOlT21V1AT10N:: _: OWNER NAME: M cr"k,S rn S Q r , y e h{�n TENANT NAME(If Commercial): OWNER MAILING ADDRESS: seer^^ I O2 c'S -TQM P.,v • E' • 9 p ^� CIN e_ve,1A- STATE L•�l4• ZIP O Z 013- OWNER $OWNER PHONE: N/A OWNER EMAIL: CONTRACTOR NAME: S Irvicxt E v.er37 i ool A j CONTRACTOR ADDRESS: STREET I Op( C_c opeA" ?4 RC S IMC - 2 Ctea CITY 01 w,1� STATE w ZIP O S c'2_ CONTRACTOR PHONE: 3,O ^1 31, 2-t3y 3 )CONTRACTOR EMAIL: Belem/ f? S Mads e y Jy Ft�l e%,/ /1.€4 CONTRACTOR LIC.#(REQUIRED): M�R rer'reCo`) i .J CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0 2�-I(p3 PRIMARY CONTACT: 0 OWNER I CONTRACTOR Cl OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 3 O (o 3-i j 3 y 3 �.` ,�C FF Tpr.�L11 CONTACT EMAIL: _se'' T e Snna.r 6,4,1ey6,1 0,1 •r�}- AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions oflaws 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! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE (D0 PERMIT# e/,O r F ( $b s — 0-7q Owner/Authorized Agent Signature Date (Revised 10/12/2015)