5705 EVERGREEN WAY ALLSTATE INSURANCE 2019-09-05

ititt CTRICAL PERMIT APPLICATION 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 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 57©5 •Ev erofeeO Wag #l CO 3 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: rif.COMMERCIAL USE OF BUILDING: COY>?Y1.Yactt /re.--hat 1 ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 05 NUMBER OF DEVICES(if low voltage): I FIRE ALARM? laYES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 1 I l Cie ., s nd to tt 8 1S Ilk V CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): /)11 �'j't i-e.., OWNER MAILING ADDRESS: STREET 5705 EverGreen �� )O 4z3 cm Jr2T7- .•JJ STATE Wp J4' q X)3 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: ! iY Si9r) Se CONTRACTOR ADDRESS: STREET I lo2 12 (?x>Fhel l- 15\iere.tl- l 31 c m I!1 (ter •.-k STATE w A zp Re o IQ CONTRACTOR PHONE: /Z 5, 330, S'I Co 0 CONTRACTOR EMAIL: bbi-s I gn S S n (OYY) CONTRACTOR LIC.#(REQUIRED): sBT 5 1 S 990 iDQ CITY OF EVERETT BUSINESS UC.#(REQUIRED): (j 5c, i o g PRIMARY CONTACT: 0 OWNER RCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: t-/2.5. 330. ')do 0 • FranK C-7OY P leZ CONTACT EMAIL: Opts t C S@ rvls .co n-) PERMIT# roil no( Dahl 12.61 E L902 `"(DS GREE :I he=by«_ , 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 mf work will•-.«. •eted -,or specified herein or not.. The granting of a permit does not presume to give au thority to violate orcancel the provisions of any other state or ual 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 8.27 RCW and 296.200 WAC.' Date (Revised 9123/2016)