4845 GLENHAVEN DR 2019-07-08 - Laserfiche WebLink

ELCTRICAL PERMIT APPLICATION 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 www.everettwa.gov/permits s� � � s,�t. � � ��-'� '�- y � '�. x -: c a �� &v,@, s�:�?.'e �. -any. �, �,� nK .� K„_ew.m. .,..,._..by�w� ,..�Nx .S,A_;�.�- .,,,..., t m__,..�a,..�`�.z<�,:''.,ux„A.�, .ani... � .v r� �..z,�.,.....„,�a�S,�.��, ..,.�..F._ �a�,u..a\�...�i �..E PROJECT ADDRESS: 1$V5-' i3 a /8n A lie,' c�// BUILDING AREA(if residential,new constructio remode or addition) /7iD SF BUILDING TYPE:' SFR-DETACHED %m;1.'-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: R s r � 1 �``N F �Pt�� L 5, '� 1 '� �� 0 � �� '`� s o��E A,i 4'� S .�� hkVe X+`'an..a �t r� t'�. a a, Baa ,.. s, CONTRACT PRICE OF WORK:$ a, Ape , NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES ,`1610 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ee_-ccs ;''c- hare- id 1.141 field c::2'D s'�e1v�re ;CONTACT INFORRMATJON OWNER NAME: /0 J`G- TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY - STATE ZIP OWNER PHONE: 4/ S c OWNER EMAIL CONTRACTOR NAME: e- v'R // CONTRACTOR ADDRESS: STREET 1 ,D, 1( 4'j ‘.. ;),,A „C CITY i / STATE J1� ZIP re72g 7 CONTRACTOR PHONE:3h ) �3 -e 3�� ,24- 3 F CONTRACTOR EMAIL:d --1 ks e/ro I r 1 ctgr4(J 1 674 1 CONTRACTOR LIC.#(REQUIRED): £!.L V 1.Q.31 _ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): S 3 6 ,, PRIMARY CONTACT: ❑OWNER ONTRACTOR 0 OTHER(Please Specify) CONTACT N CONTACT PHONE: - 3....2e3....2eD �r qE:,a o T , /Gr CONTACT EMAIL: 2L.4 v-kS e%C 4 i Ao1 AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws s a 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 am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# Owner/Authorized A nt Signature Date (Revised 9/23/2016)