3625 8TH ST 2019-05-23 - Laserfiche WebLink

'IP !LECTR1CAL PERMIT ANLICATION 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.everettvva.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: "3,Z 2-5 91'47 BUILDING AREA AREA(if residential, new construction,remodel,or addition) SF . BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: A<OMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES(if low voltage):, 764 ..... Aor ,- FIRE ALARM? 0 YES fttiO ASSOCIATED BUILDING PERMIT#(if applicable): 0 DESCRIPTION OF WORK: CONTACT INFORMATION OWNER NAME: -reAe X TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: ... . .„ . . ,, . .. ..,. . . .. ..„ . .., „. . .. ..„ . ...„. .. . . . . .,. , .. . . , . ..,, . ,. .„ CONTRACTOR NAME: • 4-0p CONTRACTOR ADDRESS: STREET ei 0 C tf I Lti-il 571-- AfE CITY lAMOVy 1Pit-P7, STATE LA/1}- ZIP CONTRACTOR PHONE: 4/14 24.6) q CONTRACTbR EMAIL: ......ir fry 'X er, CONTRACTOR LIC.#(REQUIRED): Avi-y, livtdifeMk CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER fiZOONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Iti"-- 2. f—e 5Y • 'TZT,1 CONTACT EMAIL: AGREEMENT:Thereby certi6, hat I have read and amined this application and know the same to be true and correct Al I 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 FEE PERMIT# j41 _ / E tbk-A-151 Owner/Authorized Agent Si ature Dat (Revised 10/12/2015)