3105 PINE ST DELTA HOTEL 2020-05-04

ft. ECTRICAL PERMIT APIILICATION /11P041 ----ACITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov www.everettwa.gov/permits £' PROJECT SITE INFORMATION PROJECT ADDRESS: .�\06 -Vin e `> 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: 4eOMMERCIAL USE OF BUILDING: (, ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ ,100© 00 NUMBER OF DEVICES (if low voltage): 5 FIRE ALARM? 0 YES ti NO ASSOCIATED BUILDING PERMIT#(if applicable):� a DESCRIPTION\OF WORK: ✓S T—U E I l\ i(NA-t m at 1 1 U Int/1,4--d Wail 51 gvL5 OA(A 2 1r -(w\4 ttt IlUr„ t". et Moms �+ 5110,5 CONTACT INFORMATION. OWNER NAME: r I N l �}�� (Sp 1#1 TENANT NAME(If Commercial): Del j OWNER MAILING ADDRESS: STREET CConeuvveret Io 5 CITY eitv,1kV/✓t STATE AI ZIP qi(✓-2 _,,c OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: M(�t-e{ Sic/c/pl. Ceiv\p ay- -e CONTRACTOR ADDRESS: b STREET ?,(f. Q 1 qq 5 - CITY n LAS\ P r•r.,Cr STATE Ai ZIP qx L73 CONTRACTOR PHONE: 5UD_424—13 2 CONTRACTOR EMAIL: S 1 f aril- IMAl -s i 7v)- 60'n CONTRACTOR LIC.#(REQUIRED): I52 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 3j 2y 31 ef-a tW 4U,i S i CONTACT EMAIL: g t�t'1 P eG Yo-P,1 terS qn AGREEMENT:I hereby certify that I 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 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 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 WAC. City of Everett Official Use Only / PERMIT# 3 11 t 1c E 0 — 0-41 Owner/Authorized Agent Signa e Date (Revised 9/23/2016)