2300 MERRILL CREEK PKY SAFRAN 2019-11-06

• 'ELECTRICAL PERMIT Pl...ICATION Imo` ;2,r CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 ] (E)everetfeps@everettwagov) www.everettwa.gov/perrnits • PROJECT SITE INFORMATION PROJECT ADDRESS: 2.3o 0 et(i I I Ci tit,I'C. 1 rk.W y I/ EV-CT-G-141 W A `I 2O BUILDING AREA(if residential,new construction,remodel,or addition) / ®q 2 SF BUILDING TYPE: CI SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 1:1 MULTI-FAMILY-#OF UNITS: lit COMMERCIAL USE OF BUILDING: oti ELECTRICAL.APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ '9 • ,_3()0 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES ANO ASSOCIATED BUILDING PERMIT#(if applicable): 13 l 71 2_. -0 1 j DESCRIPTION OF WORK: PIM c,..-, 112.- Ir V 4 'Z`f�;,,3 caeln� -, - tee.. o . CODA mit 12.a/2esV 3 p14 ��n�lnitk e/tt--toi cl C�� n �c->,c.�s fig vw"1 ers. y14, ► iii. 4% / ( f /2 V �lierj , W"e1 ,/,- c- J. )A �r - CONTACT INFORMATION OWNER NAME: • TENANT NAME(If Commercial): 54-Fg/4 4/ OWNER MAILING ADDRESS: smear 2300 /4e.mi i l 1 Giem k Pi-k w1/ -94c1 CITY Eotf -f STATE W OWNER PHONE: yy _..yy G OWNER EMAIL: CONTRACTOR NAME: A'��d I C .fa�'ryis!t��1�°E��P',TL��L,.._ _..y._..-,._,..., .. , _....�„¢ ..,.,, �� .,......._,....n.._.,.,. -...d, ..._..�..�. Y CONTRACTOR ADDRESS: STREET I 0 0 /1 3' 4 ve- S E Q CITY IF V$1 e -e STATE WA ` . , u CONTRACTOR PHONE: la,✓'-35 3-If 7 CONTRACTOR EMAIL: Al a v i j y aS e 2 tin 7'; e e v,1 CONTRACTOR LIC.#(REQUIRED): PPS. G' r 9 7q J2 CITY OF EVERETT BUSINESS LIC.#(REQUIRE!-): PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 1101,3-1101,3- 3 5 3 ` y S.if 7 IIlly 4' fil 'Coi9 m CONTACT EMAIL: ,j✓ J. Gt'Se,p `fi {,, C..0 AGREEMENT:Thereby certify that I have read and examined this application and know the same fo be true and conect. 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 orthe 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 WAG City of Everett Official Use Only FEE OSc( . 9-0 PERMIT# /1/ E Owner/Authorized Agent Signature Date (Revised 10/12/2015)