5030 27TH AVE W 2019-08-08 - Laserfiche WebLink

ECTRICAL PERMIT APPLICATION I�►', - 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 www.everettwa.gov/permits atga,la, ',ra. lli$.xsstaiat#4#400004:01#"1.11•111 ... tNROO. �`��"+��O PROJECT ADDRESS: 5030 T7°al 44Ja t.)Jt qA03 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED It SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: 3FR. i A*api.LNC ;Ion y ,Foto AJo CONTRACT PRICE OF WORK:$ O NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES 0 NO .ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: fide/ Car) 1.1i kJS !ter 14#j .i on y,P6d.-r OWNER NAME: Sf . e_(2—(oS+ TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 030 .rl th Atte- u3 n G CITY t.Y e. �/V{ STATE i,�} ZIP �J p gO,'� OWNER PHONE: 40( ' geOl — (USS(, OWNER EMAIL: Savv\ a kit e4 5f p cmau ,Corn CONTRACTOR NAME: RPB E lei Z- CONTRACTOR ADDRESS: STREET ))5 3 9( p�,1 C t' S T cm, (!r/��\(1 Cwt P�,W STATE l� ZIP q O G / 5 CONTRACTOR PHONE: CONTRACTOR EMAIL: N b e(ed-4ac.. �4 k - .. o✓"It f, CONTRACTOR LIC.#(REQUIRED) g/ LELg/2..r CITY OF EVERETT BUSINESS LIC.#(REQUIRED):Z 3 PRIMARY CONTACT: Ef OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: -9'-441,4- /4Q,245.7CONTACT PHONE: CONTACT EMAIL: AGREEMENT:I 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 lam 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 g PERMIT# � ir / '/ En \ \ ' Owner/Authorized ,ent Ignature Date (Revised 9/23/2016)