3105 PINE ST DELTA HOTEL 2020-05-04

ELECTRICAL PERMIT APPLICATION • CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwaa.gov( www.everettwa.gov/permits • PROJECT SITE INFORMATION PROJECT ADDRESS: '5/05— P1 Al BUILDING AREA(if residential,new construction,remodel,or addition) 7 01 7Z SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR A■ 'CHED 0 DUPLEX D MULTI-FAMILY-#OF UNITS: I 'COMMERCIAL USE OF BUILDING: ap"I ECTRI CAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ • NUMBER OF DEVICES(if low volt-•= • FIRE ALARM? 0 YES 0 NO NA ASSOCIATED BUILDING PERMIT#(if applicable): / t DESCRIPTION OF K: I I)AA A)/A'6 Mt>,viCo71 j MCri1% D�L+ i 5 /i(JaG0,0.- - LJit/f tio 1 tee?' _ CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: smasi CRY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: a.1142-411.,Y1) ...._. ....-.. „��..,.----. �..,,... _..-..... .......... .... ..- .... ..._ ..,.......-..... .,. ....._..��. CONTRACTOR ADDRESS: STREET -Z/70 e,tAc .4tv Cl/F CRY Evepcaof sum fil-" zip 'T r.� CONTRACTOR PHONE: 7 26-25 2--3//q CONTRACTOR EMAIL: j'✓)eeirk e CONTRACTOR LIC.#(REQUIRED):_ kwee125,.ggw-AA..,.<-^ _CITY OF EVERETT BUSINESS LIC.##REQUIR PRIMARY CONTACT: 0 OWNER Q'CONTRACTORPN©OTHER(Please Specify) V 1 /111 CONTACT NAME: CONTACT PHONE: Z5- Z j Z-3/<tl` ft2,4 44- CONTACT EMAIL: s @ 5— AGREEMENT:Thereby certlty that I have read and examined this application and know the same to be true and correct. All provisions of laws end 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 constnrction. That/am authorized by the owner of this property to perform the work for which application is made end I comply with the State Contractors Law 18.27RCW and 298.200 WAC. City of Everett Official Use Only FEE - 0 PERMIT# //to/ E ( 3- Qwner* uthorized Agen nature Date (Revised 10/12/2015)