7720 HARDESON RD K & H PRINTING 2018-10-16

• • 047T 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 I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 77020 1-1RDc. c J J<-I-�� 1 BUILDING AREA(if residential, new construction, remodel,or addition) lJ � - SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: IXCOMMERCIAL USE OF BUILDING: DEQ I G(" ,/ ,�'' i Lei ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ � 3 bd , an) NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES QNO nn ASSOCIATED BUILDING PERMIT#(if applicable): /1/ 4 DESCRIPTION OF WORK: �,QOV I IDA-)` "7-/-L- — ?o0 TO A AJ CONTACT INFORMATION /��1'_�/ OWNER NAME: pail / Lc � TENANT NAME(If Commercial): I i4t OWNER MAILING ADDRESS: STREET Z- / CITY (�(/ 7 STATE lit�A z / Iti .2✓/1 OWNER PHONE: 4/25- �� -0 5 k I OWNER EMAIL: V R N fel N�S� —Pa/UT-- CONTRACTOR NAME:.720-d..IIad 4_2.- /c-�y 6;00t- CONTRACTOR ADDRESS: STREET j 2._ IAI `-J LSI F CITY l)1c�tJ T> STATE W "' ZIP C/g'dS 2, CONTRACTORPHONE: L/2-5-O 7 °4 tb+tO pCONTRACTOR EMAIL: / -7)-a-VC PEG I IJ� ,C_an'1 p, CONTRACTOR LIC.#(REQUIRED):I�C=CM Gs �(O/ Pu CITY OF EVERETT BUSINESSrLIC.#(REQUIRED):V'77 gtJ PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) / CONTACT NAME: CONTACT PHONE: 20& 9C" g_2090 CONTACT EMAIL: -1-62,r--fir t 60 pep,I r ootpf AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions off 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 othw stale 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 16.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 2k 116-9*." PERMIT it ei �� /027 �s E ftc OwnerlAuthoo ed Agent Signature Date (Revised 10/12/2015)