Laserfiche WebLink
/a298d- a eao..00f Z397 <br /> /02925.2V 21.0N 23.9s <br /> ELECTRICAL PERMIT APPLICATION <br /> -- . CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8867 1 (E)everetteps@everettwa.gov j vwvw.everettwa.gov/permits <br /> PROJEC-'P':.SITE INFORM;ATIOI I '-^ <br /> PROJECT ADDRESS: #,0-2 g/�', <br /> BUILDING AREA(If residential,new construction,remo ,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED»❑DUPLEX 1:1 MULTI-FAMILY-#OF UNITS: I1 COMMERCIAL <br /> USE OF BUILDING: QED G EVa 17 <br /> CONTRACT PRICE OF WORK:$ �p� 000 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES $!NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: /ff /�� / /�1�' ,�" <br /> mi J / //��/CJD /1 7 • <br /> .. : .CONTACT.;INFOR1111ATION.; <br /> OWNER NAME: TENANT NAME(If Commercial): BCE/A.)6 <br /> OWNER MAILING ADDRESS: STREET Pd &VX 3707 <br /> CITY .5EATTLE STATE�1/r9' ziRR2iL2207 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: 6e1}Er_fit. eAUSTRUe„..17 MJ <br /> CONTRACTOR ADDRESS: STREET Pa $ox 4/ <br /> CITY mag I GTE7 �STATE� 11 A <br /> ZIP <br /> CONTRACTOR PHONE:4255-21749CONTRACTOR EMAIL: k4-2.1. J-4lmEri®k/,w'r, C .v <br /> CONTRACTOR LIC.*REQUIRED): agit E` e.44 $54o z CITY OF EVERETT BUSINESS LIC.*REQUIRED):040519 <br /> PRIMARY CONTACT: El OWNER ®CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: A CONTACT PHONE: 2t -736-t'p54-lp <br /> . . Dt%/�N 15 CJD GI/ CONTACT EMAIL: D N N I S,t",eOW8 j;IF wrl T. £oiY► <br /> AGREEMENT Thereby 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 <br /> type of work will be completed whetherspeclfrad herein or not The granting of permit does not presume to give authority�v/oiafr cancellhe provisions of any o er state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this properly to perform the work for which application is made and l <br /> comply with the State Contractors Law 18.27 RCW and 296.206 WAC <br /> City of Everett Official Use Only <br /> • FEE <br /> #/0 2, vo <br /> PERMIT# <br /> i i7 E <br /> OwneriAu or zed Agen Signature Date (Revised 10/12/2015) <br />