10121 9TH AVE W 2019-06-05 - Laserfiche WebLink

"IP*. ECTRICAL PERMIT AIIIRICATION 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: /'(v2 / < 4v - (A) BUILDING AREA(if residential,new construction,remodel,or addition) Ai 4 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: -Ekt OMMERCIAL _LS USE OF BUILDING: F 1o12,A- E JI C'L.JYy ELECTRICALAPPLICATION INFORMATION . CONTRACT PRICE OF WORK:$ 200 — NUMBER OF DEVICES(if low voltage): '/74 FIRE ALARM? 0 YES l0 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: L,/NE VOLY 5(IPP4_Y Apr pv7 60.1 Ar►)P 6:6'1D/OP-6 e/2 eu/7— / 1io✓a�7- COMTACTINFORMATION OWNER NAME: sc+arvb C'f TENANT NAME(If Commercial): ,u,sg10 leareigloIJ .SOk OWNER MAILING ADDRESS: STREET /01_2/ 9 ' 4& - tki CITYCITY v��,-7-- STATE ULAY51- ZIP 91-20y OWNER PHONE: 1/75" 35-5'2 Lf 911.6, OWNER EMAIL: CONTRACTOR NAME: J9/2$J C L_ ?C- CONTRACTOR ADDRESS: STREET // o'yf�` fk-£S AY.L - CITY ,�� '' STATE "•("'yQ ZIP, g."Z0/ CONTRACTOR PHONE: 4Z3—-2 6 76 0.3 CONTRACTOR EMAIL: OW �111u7"S 6 ® f at,)`l ... CO'' CONTRACTOR LIC.#(REQUIRED): 1E 77 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): ‘22 //601....3 PRIMARY CONTACT: 0 OWNER H.�CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Z( 9-- 7 603 50077—154—c-1713 CONTACT EMAIL: LsJt,e€vurS 6 Q rif AGREEMENT:T hereby certify that 1 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 FEE 4. 6 PERMIT# wner/Auth. ' -.Agen ignatur Date (Revised 90/92/2095)