4720 MERMONT PL 2019-07-08 - Laserfiche WebLink

(Oreir ELECTRICAL 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 I www.everettwa.gov/permits tt EUZ SoA5V8 Vr r , :� otM 0� iO�Si xi- FY K , yrj xY_` sC PROJECT ADDRESS: 720 /14elem op/ I p by � 97.205 BUILDING AREA(if residential,new construction, remodel,or addition) 2"2-07, SF BUILDING TYPE: 0 SFR-DETACHED l ucSFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: i 0 e2 1/6..0 �;�� ), � � Et` , 4 �, ya itL�} A ", �. p LL� e .�4 &R '� ��1f1 �x'�t 1. P7i�4¢cam°, ak �f x"�Al t� �x �* s�: !n 1 1111=��11,C440400TI N**0 t 4(,° t, elr 'y.y,W i tea.\''�,=h^` r'f:�w R.�'. ..,a�.a.4�':�a �.,, :P r.da n<*� . ��_ x.....,z , �,x�,�i ., CONTRACT PRICE OF WORK:$ /7//0 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES eNO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: /Zf2✓l/2-t /tr-v5e - 9` Gtff4 /fie ;CONT lCT I FORM ITION OWNER NAME: /2-06 Gr U a /ctc_5 Uw TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1-ti 720�-� f' e-71.44en.7 /7 7,y CITY eve 7p'' STATE AA- ZIP 9720 3 9OWNER EMAIL: /Zof36(/c:LtClC JCT''✓Q',(, Ssv 'c ') 1 OWNER PHONE: � Z 3�—414//� CONTRACTOR NAME: /'-7 /-1- eLe-C77t/ C- CONTRACTOR ADDRESS: STREET 7"O(' /3C, -V 136_1,i) STATE ZIP 52-724. 3 CONTRACTOR PHONE: 125 -.j 7`1.749/?- CONTRACTOR EMAIL: ( /v/'v,ro-c/qf7( 607-vi CONTRACTOR LIC.#(REQUIRED): C/Z-t H pJ �GC� ICITY OF EVERETT BUSINESS LIC.#(REQUIRED)O Y 2 n� �.,a....�Y..a. Wim.. n PRIMARY CONTACT: 0 OWNER I2"CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: '-'ZS--r v7- Vit'/99 // gexti ` i.�C9 7.l7 t7' CONTACT EMAIL:/LCA/ j . /97 Ce-1241 AGREEMENT'I hereby certify that 1 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 I 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 PERMIT# 77. /0 /20/ 7 E1c6l © — OO Owner. •thorized Agent Signature Date (Revised 9/23/2016)