6203 W MAGNOLIA AVE 2020-01-21 - Laserfiche WebLink

o 7. !ELECTRICAL PERMIT —"L CATION moad 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.govlpermits PRAIJECT SITE INFORIVATI i 9. . . PROJECT ADDRESS: 0203 CO Mix3y\elta. Me_ fAtrekrt- Cu a&203 BUILDING AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE: RSFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ► �5 � �Ar�i1 resid ELECTRICAL.APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 60 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES jg00 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: S ihjk._ f o w ty c4e- a Ad14(c CONTACT INFORMATION- OWNER NAME: 'Tp tY\ ANN,, YQhgtj 3 Qy\s,j_l^ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET (p 20.6 C() in aaho i o Xi . erre F V Q,ym v STATE W A ZIP 14610 3 OWNER PHONE: 112.5-273-AK,?.,el OWNER EMAIL: d00,,•, 'Al2X‘ e,,Y\CCS Q(I'he.s •c4).. ,. . .. .. . CONTRACTOR NAME: (Al vs y -1e,,,,, -.A '�Q i' h\to, -3.Q,y‘SQy\ tJ CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: " CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED) e ..nv r: PRIMARY CONTACT: DOWNER 0 CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 1425- 2.7 3 _ q6 279 CONTACT EMAIL: Q�hcA _�2lnber\ darsAetnsen g aYnA,\• conn AGRFFMENT:T hereby certify that I have read and examined this application and know the same to be true andYorrect All provisions 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 tam authorized by the owner of this properly to perform the work for which application is made and I comply with the State Contractors Law 18.27 RC W and 296.200 WAC. City of Everett Official Use Only i FEE 0 b PERMIT# 2_1_ ,t E lit)' -'t)31, Owner/Authorized � Agent Ignature Date (Revised 10/92/2095)