4727 MERMONT PL 2019-07-24 - Laserfiche WebLink

ELECTRICAL PERMIT APPLICATION #144 .-1CiTY 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 SITE INFORMATION if PROJECT ADDRESS: 7.2:7 VVt e)2JA,i -t" ) , BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: SFR-DETACHED 0 SFR-ATTACHED ❑DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: • ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 6-bC). NUMBER OF DEVICES(If low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): �� --� DESCRIPTION OF WORK: 1)(<( icAL,'C; I tv(luc�C�Zf p.�JS `f�4eZr'1/, 'Ci.s.. 411.-0 4— ro AZ. A(tr. • • 1 • CONTACT INFORMATION • . : ••• OWNER NAME: trelzlZ�i )341z�AtV D Jt'edi_TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET 7Z? f/vie I r (� ryl� CITY n STATE t hM'L . ZIP C S lr OWNER PHONE: 192-C") .P70 -- �02.(, rwNER EMAIL:^�8t ve�FjS�'cyp �`1e1 7 CM- CONTRACTOR NAME: :-, a ',j(44T---e Q, CONTRACTOR ADDRESS: STREET GI 70 raet4G I E— (� .�, CITY 'o:Zel1 STATE WYZIP[6-?„C. CONTRACTOR PHONE(W.6) 22 —3( i L(- CONTRACTOR EMAIL: 2 et- 4, 4es ovii Gc/Cc. 00444- CONTRACTOR l0fyc.CONTRACTOR LIC,#(REQUIRED): ��2� ) CITY OF EVERETT BUSINESS LIC.#(REQUIRED):(j)'71 5 PRIMARY CONTACT: ❑OWNER itCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: tF z5z S�( p CONTACT EMAIL: i.e, cV 55/1,1 tex eel'K 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 local law regulating construction or the performance of construction. That 1 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 298.200 WAC. City of Everett Official Use Only I.PERMIT# o 0—tY EISI 1 Owner/Authorized Agent Signature Date (Revised 9/23/2016)