3619 RUCKER AVE 2019-07-08 - Laserfiche WebLink

_____ aECTRCAL PERMIT AIPIYUCATION E ` CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-25 -: • 425-257-8857 I (E)everetteps@everettwa.gov J www.everettwa.gov/permits 3:.b.Ici . IRI- MeV SITE IINF°I_It TIOI.'- PROJECADDRESS: ' +.44,1(�or- / ti..e, 1 EL,,,.,f.e?& tj, Vs'2,e9 I BUILD! G AREA(if residential,n- , construction, remodel, or addition) SF BUILDIN `E: U --IETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: IRCOMMERCIAL USE OF BUILDING: Pey„. gu'aAt - ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 41 11(/ei.v, Cie, NUMBER OF DEVICES(if low voltage):, FIRE ALARM? 0 YES Vi NO ASSOCIATED BUILDING PERMIT#(if applicable): . DESCRIPTION OF WORK: G/0,f'k £4-c d d/ere-iser- 1,,.,rcS I f't J toG V , dd riff -7; . fa ,..-,P et deed.. CONTACT INFORMATION OWNER NAME: Cet TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREEr CITY STATE ZIP '►WNER PHONE: t11-5- 2C 7 8 i by OWNER EMAIL: CONTRACTOR NAME: ROA ve,,,e_e_of L e.c' rokc-c.( Sc!'./,C t,°•S CONTRACTOR ADDRESS: sTREEr 21225 2g8 r`- d- )NL CITY AC 1".,," .^ STATE CAA ZIP (a 7i 3 ONTRACTOR PHONE: 3/90 65-5 7 tis-‘7 CONTRAC EMAIL: 1 Q� 1 CONTRACTOR LIC,#(REQUIRED): g G 1 i•p V p-Iv S 8351V.5 CITY OF EVERETT BUSINESS LIC.#(REQUIR D) ••IMARY CONTACT: aOWNER 0 CONTRACTOR 0 OTHER(P ase Specify) I CONTACT NAME: CONTACT HONE: 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 .calI., -• -ting 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 FEE 1 12,,59- i PERMIT# er/Authorized Agent Signature Date (Revised 10/12/2095)