12 SW EVERETT MALL WAY MALLORY PAINT STORE 2019-09-05

EIDECTRICAL PERMIT APICATION °1111:"--A - 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 I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 1 aC So(A-- IApe6 Etter * w j C Vere.1 l J w,7 9g'‘,20L/ BUILDING AREA(if residential, new construction, remodel,or addition) 000 SF BUILDING TYPE: 0 SFR-DETACHED1 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ( COMMERCIAL USE OF BUILDING: P `►1 - 5 ar-•e__ ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 5000• c'o NUMBER OF DEVICES(if low voltage): kj FIRE ALARM? 0 YES tg NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: - i4/ i Yui i cJ in ]�'' r)eui a i rcter Y+s cot- G 16 1 I n eS w I f 1 r ,� © Co►'1�I Ir P�V�� ®u � ' ; (.cam 1 Y`G nq / if) 1 -cot-J o l4- (-) Phone- a, D at --cc `J abLF-0(2,4 CONTACT INFORMATION �M ++ OWNER NAME: TENANT NAME(If Commercial): Y l G‘.1 \fj('Ul O i ✓'I,+ OWNER MAILING ADDRESS: STREET z �j` j©�/{',+1 w e E veE--rYVl cc\\, tzia CITY Com- V `-( e- 1 STATE / J ZIP '7 -2 o L� —7 1 OWNER PHONE: 20,b- 4/65 R 1 b / OWNER EMAIL: 3 C11 Ct,n. t('t 05 dici/l or'j j°o f v- f.' C-a r 1 CONTRACTOR NAME: 0 E 51&4 r'i r✓, n c, CONTRACTOR ADDRESS: STREET G/2 ao /4 b-' /lye- E CITY Lc 7\l_ ( a r kms STATE w f if ZIP �SP-3 9 J" 1 CONTRACTOR PHONE: R 3.. � 1uV/- � 7 CONTRACTOR EMAIL: aj e e.1 'e��r i c b 7 92- a c -om G'ctS-j-�rl t✓�"' CONTRACTOR LIC.#(REQUIRED): D EE L£l ' © 310 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):05 3 3 72 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONT AME: CONTACT PHONE: 2 g3 - �6 /J'`-7/yg � (2)(11IA.Vx CONTACT EMAIL: ArtG+, (C 79) @,CO tCctg ,Yl 'L` 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 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 PERMIT# a/LL trhAttme" EaO4` 11( Owner/Authorized Agent Signature Date (Revised 923/2016)