6209 2ND DR SE 2019-07-09 - Laserfiche WebLink

34re-77- ELECTRICAL PERMIT APPLICATION —TY C= =v7.--"R.7-71 PER i - 3ERViCE3 3 3C) =DAR.STREET EVEREr , WA 98201 k`X 423-257_8337 i (=I ?v ':�`.f'3J3'Qey r "w3.gov i vr`:N€iv.everettm .)OV1pecTrii'r PROJECT SITE INFORMATION ?ROJECT ADORE33. t LCt' AR -,.•'3 .13'1 _.... w. f i ELECTRICAL APPLICATION:INFORMATION CONTRACT PRICE OF WORK: S CD . NUMBER OE DEVICES (if low vol':a-...1- FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT d.('f a,olicable) t i/-\ ( Ct.—toy-1 T;1s ; R A lOt ML Diet'i=R MAlLIN,:�ADDRE33: ;"..,1"1 4 . . .�; 11111111111MUM ` • Jv�t tR�4EIL: i'•)N .ACT3R NAME. II-rt. It2-`-.,L. s t ,_, , D....1vjctt . c_flop—C1 AI PA, . . 932(7 STA TE Tp CONTRACTOR PHONE. e (%; 40+� _1 CONTRACTOR EMAIL: * • if • C ! "10 gr. 1 , 114 ._.,..1'rCJ7YTr'��CCTOi?Lf �'R �� r-,�. � CITY OF EVERETT BUSINESS LIC.#iREQfJIft'cD l t,tJQ�—'-' _ R!MARY CONTACT: 0 OWNER A' CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 1-foS 35q � Ve-lot iC. CONTACT EMAIL: G� O r YtG AGREEMENT:l hereby certify that I have read and examined this application and know the same to be true andprovisions of laws and ordinances governing this type of wont will be completed whether speed herein ar not. The granting of a permit does Oct presume to give authority to violate or cancel the provisions of any eiherstate—or local law regulating construction or the performance of construction. That I am 20:crized by the owner of this property to perfomt the work fir which application is made and I ccn'.ply with the State Contractors Law 18.27 RCW and 296.2cc WAC. City of Everett Cffrcial Use Cray �� ---� PERMIT#1 1 -� L Pal0110 Z.t us-- 1 i K E \(-6 12- 061P 1 C'evrer1Autheriz�sc Ageri Sl;t •rare Cate j (Revised ti/2.1=G1r;