3522 LOMBARD AVE 2019-06-04 - Laserfiche WebLink

ifil,A 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 SITIIINI 701*. N PROJECT ADDRESS: ' 5 1_-OrYb f ve. Ev r( ?-l-+ iJ Pt 6t ?Z 1 BUILDING AREA(if residential,new construction,remodel,or addition) G7 2- SF BUILDING TYPE: ASFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: G Ce, Ei*pi TRtok::,L At+R,k.1oATc It 1 M4 to CONTRACT PRICE OF WORK:$ k 00 k- DGS NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): C I go Lp --603 DESCRIPTION OF WORK: g I Wr r;co.i y cx rf -u5�+_ 1-e CJI2-74c4,v ei r • • . . 4ddM N ® 60 Am' no -c i/ 1v . 5 cv- ca li° v-fiSm ct p8 1 S v- c.„ cel 2 J-C{-bdvl 000 0._ • l� o r & IC g p CONTACT INFORMATIONt OWNER NAME: v\e—t. Pt c_a TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ` ,SLoeb -01 . CITY 'EV _ 'e STATE Lk)k ZIP Q 1 OWNER PHONE:C5o ) 577 4tc OWNER EMAIL: k.pcx... 1 lyv\a i ••(.b(Y CONTRACTOR NAME:X t 1,13 in'q r CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: %OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (1b'3 5-7-7.... -7-7 .r/- t V-e, P&. 1 CONTACT EMAIL: pcsAr��).-t 1 (du(oA(L,\ . cop") AGREEMENT:I 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 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 PERMIT# y....)LALA:......3 ‘114A2.),b - 1 IP E k�� -- 03S Owner/Authorized Agent Signature ate — (Revised 9/23/2016)