7605 BEVERLY BLVD BEVERLY PIZZA 2022-01-21

ELECTRICAL PERMIT APPLICAMN d- CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SHE INFORMATION! J PROJECT ADDRESS: QS L5k'��)c � 15101 BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY - # OF UNITS: COMMERCIAL USE OF BUILDING: PI,T Z- 6�- ` - F,>, �? -- ,' 0 ELECTRICAL. APPUCA'TION IHIFORMATDON CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT # (if applicable): g� y DESCRIPTION OF WORK: / n n, CONTACT INFORMATION OWNER NAME: N�6ha'< f ili C C OK �7 G {� TENANT NAME (if Commercial): /l / OWNER MAILING ADDRESS: STREET My STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRAC/TO ADDRESS: STREET �+ � J Gli vL Gl CITY / STATE 1/v ZIP CON CTOR HONE: j - J 21-C{ 1 1CONTRACTOR EMAIL: ha CONTRACTOR LIC. #(REQUIRED): gL I 2i�c CITY OF EVERETT BUSINESS LIC. #(REQU.IRED):MA PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER (Please Specify) Z CONTACT NAME: i / CONTACT PHONE: 2- -3 gq CONTACT EMAIL: H r r AGREEMENT. Thereby certify that/ have read ar}�examined this application and know the same to be true and correct All provisions oflaws and ordinances governing this type of work will be completed whether specified erein 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 18.27 RCW and 296.200 WAC. S 7-/�-- /sl' City of Everett Official Use Only FEE PERMIT # E Owner/Authorized Agent Signature Date (Revised 1011212015)