3214 KROMER AVE 2019-06-25 - Laserfiche WebLink

:. 4. ELECTRICAL PERMIT AAKICATION CITY OF EVERETT PERMIT SERVICES _ - 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SIITJ 11 IF o r j- ;A:trif ` .' . .. :. _ -.. :.._:. :. .. .. . ... es'... ... .. ....•.. _ :..:: .. ,• _- . Q. PROJECT ADDRESS: 3 1 !/ l fRD Nle/L A V SL , 1I(� C.,V ! o2dJ BUILDING AREA(if residential,new construction,remodel,or addition) SF / / BUILDING TYPE: ❑SFR-DETACHED %SFR-ATTACHED ❑DU' -' • 'V 0 I-FA ILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: S g two—__ L-4_ CONTRACT PRICE OF WOR :$ 9j op NUMBER OF DEVICES(if low vol age :: FIRE ALARM? ❑YES I, NO &rk U --0,0 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: �S¢/z u,c, g ) 77Z, J 2 be -t o 7/ L- • `� 1 n f cti N e)---) Ho c-t S,0P--- _ _. . C. ON..� A.. - T IINFORMATI®N. OWNER NAME: &e.4-1-1‘...) /',/1 t C C sl A TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3 0 ci(J 1-C.,t. & / c-/? 41)-9-/ X/� cm( C 7)Q `9 r et STATE J 4 „ .% 20/ OWNER PHONE: .. . . .. ... Vi'/5- 7 OWNER EMAIL: 6 z.,-/U!"W.C':/'UW,LTU Q16-'/"14A , Ccs q CONTRACTOR NAME: O CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: ' CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): L .0 PRIMARY CONTACT:udO.WNER 0 CONTRACTORS `CI OTHER(Please Specify) c___w_..�.�......, n-a.�. �_v . . .._. r.: CONTACT NAME: �` C[7�,./ t LLE ,,, CONTACT PHONE: y23",. Q23 cm.? WS- Y22 ....2,3 - A .2,3ZA 4.44-1 !1_ CONTACT EMAIL: AGREEMENT,;T 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only a FEE ar PERMIT# ,/ --- C.Y e,020 ^ 1 E \ zoS - k 29 Owner/Authorized Agent Signature Date (Revised 10/12/2015)