114 BARBARA LN 2019-06-18 - Laserfiche WebLink

477 RECTRICAL PERMIT APICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps©everettwa.gov I www.everettwa.gov/permits PROJECT SITEA)INFORMATIOItI PROJECT ADDRESS: 114- Ewhorec LN1 BUILDING AREA(if residential,new construction,remodel,or addition) 9100 SF BUILDING TYPE: 0 SFR-DETACHED Il.81 R-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: Y cLYl(ti` es,c vl('f ELECTRICAL APPLICATION MNFORMA1iO CONTRACT PRICE OF WORK:$ n'Ya-C1(16 �� c NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES m-I� ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 42c 10,/1(r)(( LI Vii ( A4-1- c tcd 'O I E 7 C YIVOI i9 CONTACTNFORMA`I"IIN OWNER NAME: ,,JicW 1 j> VY1 U r TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1 L4j �� - t,� err( veV'rM STATE (PA ZIP OWNER PHONE: ' 977- 5337 OWNER EMAIL: YV I lr'-1)a x/L-Fr -()Ttri CONTRACTOR NAME: 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: CONTACT EMAIL: 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 lam authorized by the owner of this property to perform the work for which application is made and comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# E1 %0`( - 132 I Owner/Authorized Agent Sign re Date (Revised 9/23/2016)