2 W CASINO RD 2016 BLDG C 2020-02-20

LECTRICAL PERMIT P��®� CITY OF EVERETT PERMIT ,VICES 3200 CEDAR STREET, EVERETT, INA 98201 (P)425-257-8810 ( FAX 425-257-8857 ] (F) everefteps@everettwa.gov] www.everettwa.gov/permits �P '® I PROJECT ADDRESS: W C C BUILDING AREA(if residential, new construction, remodel,or addition) F BUILDING TYPE: ❑ SFR-DETACHED ❑SFR ATTACHED ❑ DUPLEX MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL USE OF BUILDING: ,:.. : `»>lii CT-R-WA:;SPP J- A 9-0-4 11 9)F®)R0�T�01� ter:: 3 CONTRACT PRICE OF WORK.$ 2� NUMBER OF DEVICES (if low voltage). FIRE ALARM? YES ❑NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION-OF WORK: CO ACT IN) ORMATtON' = fw.00-w"NER NER(JANE;: TENANT NAME (If Commercial): MAILING ADDRESS: STREET % cny STATE 7JP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET �-- CITY STATE ZIP CONTRACTOR PHONE: IV,,O /CONTRACTOR ENTAIL: tC CONTRACTOR LIC.#(REQUIRED):/+(/LSV l WtCITY OF EVERETT BUSINESS LIG.#(REQUIRED): 2A O PRIMARY CONTACT:� ❑OWNER eptONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: n I i � _ � CONTACT PHONE: e2b, Li SS/ CONTACT EMAIL: AGREEMENT.-Thereby certhlythat 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 ornof The granting of a permit does not presume to give authorify to violate or cancel the provisions of any other state or local law regulating construction orthe performance of construction. That i 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 18.27 RCW and 296 200 WAG. City of Everett Official Use Only _ FEE PERMIT# d Oirvner/Author; Agent Signature Date (Revised 10/1212095)