305 SE EVERETT MALL WAY SLEEP TRAIN 2019-10-03

RECTRICAL PERMIT APPICATION 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 SITE INFORMATION PROJECT ADDRESS: Cl — '5C r c-e-t'} 11-'ilk BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: rkCOMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES Nr NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: �� ; t-'e ik- CONTACT INFORMATION OWNER NAME: �p L�_Q TENANT NAME(If Commercial): n I OWNER MAILING ADDRESS: STREET t4l I CITY � , � j STATE 0 'P� ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY '' y' 10' STATE CONTRACTOR PHONE: ; 34/ CONTRACTOR EMAIL: Lt'-)Cy �,_ i C , rECJ CONTRACTOR LIC.#(REQUIRED):, 0 j "i- t4w4l eK CITY OF EVERETT BUSINESS LIC.#(REQUIRED):( PRIMARY CONTACT: ❑ OWNER MCONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT:T hereby certify that 1 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/am authorized by the owner of this property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# l - �& r Autho?t d Agent Signature Date (Revised 10/12/2015)