1523 132ND ST SE BASE FILE 2019-11-04

IELLECTRICAL PERMIT AlbUICATION ^,, ,.._ „---,±7-7,-.7----; ‘.,4_, "�= CET CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 J FAX 425-257-8857 1 (E) everetteps@everettwa.gov j www.everettwa.gov/permits . . . , PR41JJECT SITE.1.M.IF® MA I PROJECT ADDRESS: 15-d- 1.3 J. -5E 8 1 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: tt/1.`�,t J� r- �1p,-v 'IELIEC`i'r';11e, 1 '4 I fPL 1 -,.T IN ii,C�.`G'10 i CONTRACT PRICE OF WORK:$ L((/li' NUMBER OF DEVICES(if low voltage):, FIRE ALARM? ❑YES XNO ASSOCIATED BUILDING PERMIT#(if applicable): 1`7 C 635 DESCRIPTION OF WORK: 1T,ei�,y..v l ` v.. iii,.) ,3� lay 'v1`4tvc)�✓�+ `- Z S LI - - CSN`I"AC`i':l<PIF®RiVIA'It"I®N-.-- _ - - . OWNER NAME: 0 ky1/4".11 ori LC.,va„A.1n- `` pp..0i,,) YcNANT NAME(If Commercial): k)f -F-44,,,k ' OWNER MAILING ADDRESS: STREET L7,�') [VU'. t0.-1 I �./1'• �)A ZIP 4G{ (h -..-�3�� CITY _—'71, s 12�. � 'V STATE OWNER PHONE: ... OWNER EMAIL: CONTRACTOR NAME: 5DA �"i iztylv LIA 1 •e,vy/iC . CONTRACTOR ADDRESS: sTREEr 11 ^' )'V 1'.V. P)., s a CITY 1(.4)„-k STATE JZIP 9 603 i i CONTRACTOR PHONE: 0 L> -7'c 3� CONTRACTOR EMAIL: VeleQ 4A.1��/v7a/,,.e.I v+U,r/ set-i j��'$i.�� CONTRACTOR LIC„#(REQUIRED)_ Ti7(,! a� `7i 7 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: fl OWNER ,ONTRACTOR 0 OTHER(Please Specify) • CONTACT NAME: CONTACT PHONE: ,1.(j(„-'7- 91`._3 7 i' ° -e Jf r�ivi CONTACT EMAIL: • AGREEMENT.:T hereby certify thathave 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!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 98.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 4 PERM I'T'# q J ner/Authorized Agent Signature Date (Revised 10/12/2015)