1719 WALNUT ST 2019-07-09 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION 'r CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov( www.everettwa.gov/permits PROJECT.SIITE.INFOOMATION PROJECT ADDRESS: 4 n BUILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: �6FR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS; 0 COMMERCIAL USE OF BUILDING: EL ECTRI+ AL:"APPLiekrib`tri NF lRMAtli CONTRACT PRICE OF WORK: $ ?JC7 ,°G NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIpILOLLOF WORK: . ___ 1N O ' i."r c t, `'r' ,z.. 4- s . ! t A.LA 0 -,M� ;CdttrA'GT II I;ORMAIIION OWNER NAME: S Y""~y' px,nk ' a VCS.\\ Ot TENANT NAME If Commercial : OWNER MAILING ADDRESS: sTREET \ ( O%,, \A fl • Sr STATE \✓K/'"1 LSp (3 *) I OWNER PHONE: L 5`D.,14 (Cj(CI% OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: s- EFr ) f Woad CITY ^.44 ,„�} STATE A A- ZiP 20I CONTRACTOR PHONE: l, � 'j �"„ti , CONTRACTOR EMAIL: ♦ ' �0 la PRIMARY 4 r14 OCOR LICT(R❑OWNER hE 4 � ��- CITY OF EVERETT BUSINESS LIC,#(REQUIRED}; �(� � ACONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: n CONTACT PHONE: �- � 601lIe CONTACT EMAIL: 606 a corn AGREEMENT:l hereby certify that t have read and examined this application and know the same to be true end correct. Alf provisionsr 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 lace/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(he State Contractors Law 18.27 RCW and 295.200 WAC. City of Everett Official Use Only PERMIT# 0„,„errAuth®razed Agent Signature rl E SOS — � � �- Date (Revised 9/23/2016)