2908 21ST ST 2019-06-12 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION �*"''er CITY OF EVERETT PERMIT SERVICES 320D CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov ( www.everettwa.gov/permits PRCt4 01,PIT.4001.,Ml'l,'.04001.2,1.003d PROJECT ADDRESS: j"'�tJ ' 2 BUILDING AREA(If residential,new construction,remodel,or addition) SF BUILDING TYPE; V. SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS. 0 COMMERCIAL USE OF BUILDING: CONTRACT PRICE OF WORK: $ 7-5-0. ,o0 NUMBER OF DEVICES if low voltace FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): C?IS CR.P_TION.0. 11.1xOR.K:_ 8Q-.5t.. -C.-'. ae 0 cci-OffAttitig001016 hip-, OWNER NAME: Pitt S t 1 nrq TENANT NAME(If Commercial OWNER MAILING ADDRESS: STREET Og ?(st St cirr stmt.. IA)tf zip "IVI OWNER PHONE: 25 252-?S / 'OWNER EMAIL: CONTRACTOR NAME: CrYt yulaqi 0 CONTRACTOR ADDRESS: STREET s L3CQ �/7 /71.5 O ad�,,c� y CRY YC✓ -p�C STATE R" ZIP (15 20 1 CONTRACTOR PHONE:rn �,- G (CONTRACTOR EMAIL: de. e G CV�flh ` ''td's. r 11'1 CONTRACTORTICT ouiREti) G - M--'--�-----, `e`l t�nCITY OF EVERETT BUSINESS LIC.#tREOUIRED: PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: } �� ))��(( CONTACT PHONE: 'R5 a5cf selaQ(t? CONTACT EMAIL::G ! Fi 1 Con-) AGREEMENT*I hereby certify that I have read and examined this application and know the same lobe 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(he 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 ROW and 296.200 WAC. City of Everett Official Use Only PERMIT# CULgot/ ZS .1q Etos-- ze5 OwnertAuttnartzed Agent Stgrratura Date (Revised 9/23/2016)