1228 GRAND AVE 2022-02-08 - Laserfiche WebLink

RECTRICAL PERMIT ArMhCATI®N CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 j (E) everetteps@everettwa.gov I www.everettwa.gov/permits = PR®JECT Sli'E INF®RMATI -w PROJECT ADDRESS: BUILDING. AREA (if residential, new construction, ode or addition) SF BUILDING TYPE: ❑ SFR-DETACHED )YSFR-ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY - # OF UNITS: ❑ COMMERCIAL E OF BUILDING: ELEl�TR1CAL'IAPPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? YES ❑ NO ASSOCIATED BUILDING PERMIT # (if applicable): CO 7i ' -3 3 DESCRIPTION OF WORK: A b CONTACT INFORMATION.... OWNER NAME: TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET /I STATE AI— ZIP y L El CITY W 2 OWNER PHONE: Z.� ��1'1 • S"i ✓ g OWNER EMAIL: Ai�co h b CONTRACTOR NAME: we CONTRACTOR ADDRESS: STREET l LQ �Gw l TE �j CITY L�. k4L •�.{/� STATE ZIP �O % CONTRACTOR PHONE: 26& —3 D CONTRACTOR EMAIL: CONTRACTOR LIC. #(REQUIRED): �jy f � (p7(% CITY OF EVERETT BUSINESS LIC. #(REQUIRE 1) PRIMARY CONTACT: �, OWNER M ❑ CONTRACTOR ❑ OTHER (Please Specify) CO N-TACiT ,N,A/ME, rI�`' N t/lc CONTACT PHONE: Z, 3 CONTACT EMAIL: l AGREEMENT.. T hereby certify that I have read and examined this application and know the same to be true and correct All provisions oflaws and ordinances governing this type of work will be completed whethet 4spe' 6 ffed 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 / 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 RCW and 296.200 WAC City of Everett Official Use Only FEET PERMIT # (We-4 -o (Revised 1011212015)