7810 BEVERLY LN 2019-06-19 - Laserfiche WebLink

OPTIE Tr ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 ( (E)everetteps@everettwa.gov( www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:7g(0 gx 1 [.( J BUILDING AREA(if residential,new construc n,remodel,or addition) IPO SF BUILDING TYPE:,FR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: laeSaurie Q ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 1500 C5Z) NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ft9a u Ca rcu - b -h mom rer9 p+71,c1L,, M GFCT - bovld-tb n2 wa,e.Js P CONTACT INFORMATION OWNER NAME: 52xl TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREEr""J R 0 .6�,y carr 506-04 STATE VVIC1 ZIP Ct$A03 OWNER PHONE:L4 ��C�_ 7 8'43 OWNER EMAIL: CONTRACTOR NAME: G E,S` RQQ'hn CONTRACTOR ADDRESS: STREET ,L c Cr eV R CITY G STATE 10n,',1 ZIP C'89.() CONTRACTOR PHONE: L S-c(b.0142c't CONTRACTOR EMAIL: S 1r S.S herd--; , Cr NI. v CONTRACTOR LIC.#(REQUIRED):6S1-11-01SH 30 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0)Q(o8,s-- PRIMARY cPRIMARY CONTACT: 0 OWNER 'CONTRACTOR 0 OTHER(Please Specify)) CONTACT NAME: CONTACT PHONE: Lias-,tea-4asp SGutO.. 4-6 Rail d CONTACT EMAIL: tsQr0. AGREEMENT:t hereby certify that I have mad and examined this application and know the same to be true and corrr Ali provisions of Awls 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 em authorized by the owner of this property to perform the work for which application is made and t comply with the State Contractors Law 18.27 RCW end 296.200 WAC. City of Everett Official Use Only PERMIT# OwnerlAuthorized Agent Signature Date (Revised 9/23/2016)