502 74TH ST SW 2019-08-13 - Laserfiche WebLink

ECTRICAL PERMIT LICATION „.41/0 - - 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 PROJECT SITE INFORMATION 50 $l 5 PROJECT ADDRESS: � � �//�✓��/7 BUILDING AREA(if residential,new construe n, remodel, or addition) ifO (,) SF , BUILDING TYPE: 0 SFR-DETACHED SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES( (iff w voltage): FIRE ALARM? I YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): c- 17 AO —Opt/ DESCRIPTION OF WORK: 7.i 117/1117/1 /2f-44rt0fit ( ?r34 71714/ ,a. vfr7J CONTACT,INFORMATION OWNER NAME: 104 � /( i;i/ /-7=z /.- 4/ NANT NAME(If, Commercial): OWNER MAILING ADDRESS: STREET 6.1�j 7 L[l9 t7 6r $ tc.. / ,/v /� 7 ZIP CITY &11 C ,7,t �/‹ 0- STATE �V v J OWNER PHONE: Z'f- 3,c � j OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUI ): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAM CONTACT PHONE: 474-- U 4 i 31 itaipo /4, ,4jtØ CONTACT EMAIL: AGREEMENT:T hereby certify that!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 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 500 PERMIT# /_` �---f ( go( -D gd Own:rh r t :sized Age Signet 7e Date (Revised 90/92/2095)