1346 W MUKILTEO BLVD 2019-11-06 - Laserfiche WebLink

ELECTRICAL PERMIT AP LICATI®N CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 7(i6 MU if// 7 8/1:01 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 4.FR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ID COMMERCIAL USE OF BUILDING: • ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 40. 191> NUMBER OF DEVICES(If low voltage): FIRE ALARM? ❑YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: /sGaiVi�'� e if&Lo,C.vd1er.--r /"/Vlam'//d/AIr Foe Ai-eza :74:67744-4-4Y704.1 • • .CONTACT INFORMATION • OWNER NAME: 1ilAA.5% j ' f /�� TENANT NAME(If ommercial): �7 Ni OWNER MAILING ADDRESS: STREET 13 l U1L/C-Trez. 0 cny CV V- r'rr STATE &A< ZIP -"a`et5 OWNER PHONE:I 1tisJ 355- (2-6 OWNER EMAIL: CONTRACTOR NAME: ECi 2a ...-a.y ✓c1L4 - 14e/-A r 'y A Ki CONTRACTOR ADDRESS: STREET -t 0 t74C:1-.0 . f coy UJeRa STATE tJJ>4— ZIP 961,C( CONTRACTOR PHONE(940 25.-311( CONTRACTOR EMAIL: /'C+-/L ( '- m 02 - CONTRACTOR LIC:#(REQUIRED): RA) [PITY OF EVERETT BUSINESS LIC.#(REQUIRED): }7/cc PRIMARY CONTACT: ❑OWNER Et CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: ',fig,. asa—3'//Y.. ( 0 CONTACT EMAIL: gird r.� dl�j 5/}� GUS.C(U/'Iz AGREEMENT.I hereby certify that I have read and examined this application end 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 1 am authorized by the owner of this property to perform the work for which application Is made and 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# E to b - a \2 Owner/Authorized Agent Signature Date (Revised 9/23/2016)