12906 19TH AVE SE 2019-06-11 - Laserfiche WebLink

#1.11*./s/—_ ELECTRICAL PERMIT APPLICATION -,iiiiii CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-88571 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits ict4 rAROg +. * `.ORMATIOIV', PROJECT ADDRESS. /7 70 0 +-a . _ o - 7T1 I„/, 1$2a 3 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: Igi COMMERCIAL USE OF BUILDING: LECTRICA APPLICATION INFARMATION CONTRACT PRICE OF WORK: .3 bc, NUMBER OF DEVICES(if low v.tage): J 2..... FIREALARM? 0 YES Z.NO ASSOCIATED BUILDING PERM T#(if applica. e): DESCRIPTION OF WORK: i... Lu 49/1746-&-- /il/ 7 -z.- 2-�e4-he /.2.. -£:-:( ig-V J 1h-2- / CONTACT INFORMATION.. . OWNER NAME: 1�.I✓0 i4E 7L R- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /2...90/O 507L(_ eV hi 14/I�/ crrY EV 1z7Tr STATE Wit ZIP 13208 OWNER PHONE: I/Z5 35-7 - 2.000 OWNER EMAIL: CONTRACTOR NAME: Y cTh M , CONTRACTOR ADDRESS: STREET 59(2 /A//)t1 T12_' D2 CITY 7-1/1‹.VI/1-it STATE WA ZIP of 188 CONTRACTOR PHONE: / -S03-68Li'°)1 i 1 CONTRACTOR EMAIL: ' CONTRACTOR LIC.#(REQUIRED): i97PLITS 0662 KO CITY OF EVERETT BUSINESS LIC.#(REQUIRED 2..gg i PRIMARY CONTACT: 0 OWNER IN CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:J441,_ ? ,ALL,p." CONTACT PHONE: /-5 0 3 -713 - '7/3 q CONTACT EMAIL: M/titKe/le)J/ p5 I0 e.it3 de+ti , Caen AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and corrbcL 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 lam 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 5o ----- PERMIT# � s k -k, -- ll 2- Ow • /rir.orized y"Signature Date (Revised 10/12/2015)