5521 OCEAN AVE 2019-06-11 - Laserfiche WebLink

4e7r LLECTRICAL 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 Y PROJECT SITE INFORMATION PROJECT ADDRESS: S 521 OCe_ok4 A\cepp��f e1 r.2.- k).3A� 9 203 BUILDING AREA(if residential, new construction, remodel, or addition) '(vLG(d 1 1`voin SF qj 5 BUILDING TYPE: 0 SFR-DETACHED IA SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: 2 se,ef:Aleo0wt S 0 kcd ELECTRICAL APPLICATION INFORMATION ; CONTRACT PRICE OF WORK: $ (2 0 O NUMBER OF DEVICES (if low voltage): FIRE ALARM? WJ,YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): ��11 DESCRIPTION OF WORK: \e cr rC n Neil �C vk CONTACT INFORMATION OWNER NAME: V Ar. l- 030j O<-f TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET JJ Ckq'j .(1: .-vo v\ P CITY Y U••tiN 1\---t•0 ` STATE tki ZIP �``/829-c— OWNER PHONE:( A c) 67-6 6?-6 LA OWNER EMAIL: \1,),C, tA,,,,i r�1.Iq,etre. Y � c —COux CONTRACTOR NAME: D J Ae_c 0 CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: pt OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT:1 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# (413120 ) 1-- D4- 0,04 Owner/Authorized Agent S gn ure Date (Revised 9/23/2016)