8911 EVERGREEN WAY VELICAHN 2019-09-05

41ETT ELECTRICAL 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: Cl,) 1 J 'cjr'e-e-r\ u003-1 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: 5gt-COMMERCIAL USE OF BUILDING: Rei--0,�1 � 1 1 em m ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ £5 000., 00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? OYES 1)610 ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: 'l 0 ►f'i 1(Zc `COY' \ 1 c fi-( n c ) •ceCepta C to 6 € EC . ,-, CONTACT INFORMATION OWNER NAME: lam(�l t -eccj TENANT NAME(If Commercial): \J i Cat\r OWNER MAILING ADDRESS: STREET 3 'a-Q„-1 O 1S Pi L� CITY STATE L,0ziP 9 gaDE L OWNER PHONE: �e15--u1D-p. a�j��OWNER EMAIL: CONTRACTOR NAME: VQ.,c$0CyY J\Ce t EE c tr f G CONTRACTOR ADDRESS: STREET 1 ra p� nc p � cCITY ' oCC STATE ZIP oigaci CONTRACTOR PHONE: 1,-.45150-5i OCONTRACTOR EMAIL:&)egC)(ynance eteCtr iC Q to M)e 'Pt ieCO1q.lcioz (lab ts1 s CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER XCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: _t 5,15 -- '�\ �_� ob 1 e -SAT L11- CONTACT EMAIL:4)-(�-(4- )(v ytafc&e�c.}\ 1 I C e_LO eci ge' 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 typ 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# tri a/.. / /1/ c E Owner/Authorized Agent Signature Date (Revised 9/23/2016)