607 SE EVERETT MALL WAY HEALTHY FOOT MASSAGE 2020-02-06

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 l(E)everetteps@everettwa.gov l www.everettwa.govlpermits PROJECT SITE INFORMATION PROJECT ADDRESS: 001 yy".l k COO-9 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: COMMERCIAL USE OF BUILDING: -COW)yyerc Iq,t ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 5 NUMBER OF DEVICES(if low voltage): 1 FIRE ALARM? .. D YES D NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ins-Fall C i) (p D d isp ktv CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): lea l-441 y Erjtma.s3(le OWNER MAILING ADDRESS: slaws crw STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: (?j)j iT St 5n ry CONTRACTOR ADDRESS: STREET * ma, y�y cnY STATE A ..A, ZIP r I (2 I• CONTRACTOR PHONE: Li?---S. ' C) CONTRACTOR EMAIL: r+SI • 3 s' (V)$r . CONTRACTOR LIC.#(REQUIRED): (? TS,SI qct©P(5Z CITY OF EVERETT BUSINESS UC.#(REQUIRED): C0 531 C PRIMARY CONTACT: 0 OWNER [ `ONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: Franv CONTACT PHONE: 2.5.330. 5-)10 6 CONTACT EMAIL: lob^ -S 1 a h y-r) ,Can'.) 4 45-1( PERMIT# ti 13. 11 E10112-' Ol (p GREEMENT:I hereby : that I •read and examined this application and know the same to be true and correct All provisions of laws and ordinances governing this type f work will be completed -cher 'added 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 cal law regulating construed. • the performance of construction. That I am authorized by the owner of this properly to perform the work for which application is made and I m ty lgndta e18.27RCW and 296.200 WAC. Date .(Revised 912312016)