802 E MUKILTEO BLVD 2020-07-14 - Laserfiche WebLink

,ossiov— ItECTRICAL PERMIT APRI A TION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET,EVERE I t,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1(E)evenadeps@everettwagov I www.everettwwa.govipermits PROJECT SITE INFORMATION PROJECT ADDRESS: frt U ..- :; t..., BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED ❑SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY #OF UNITS: COMMERCIAL USE OF BUILDING: S ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 543 NUMBER OF DEVICES(if low uolta9e FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: I t ViktYkS CONTACT INFORMATION OWNER NAME: e. c( t/ h` {t TENANT NAME(1f,Commerclall: '.i `fit t*�t l OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: '(-- 6 MPAt CONTRACTOR ADDRESS: s'nw y i? CLA CL AIX SA-1 crrr ,i t i STATE is, ZIP CONTRACTOR PHONE:2Z6 436 CONTRACTOR EMAIL: ifX.Lk- W1¼ 9' `64- ' LI Tt.. CONTRACTOR LIC.*REQUIRED): 5 c---4°> "F ' f f-)114, CITY OF EVERETT BUSINESS LIG.#(RE4UtRED): 0 11 PRIMARY CONTACT: 0 OWNER I 'CONTRACTOR 0 OTHER(Please Specify) �. CONTACT NAME: CONTACT PHONE: %.-bt i. W T'' CONTACT EMAIL: I t > r . y AGREEMENT,'Thereby celery that t have read and examined this application. and know the same to be trueand corr ct, AO provisions of and ordinances gong this type of work wN:be completed whether specified herein or not The granting of a permit des not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the perfonnence of construction. That I am authorized by the owner of this property to pertorm the work for which application is made and t comply with the State Contractors Law 18.27 RCW and 296.200 WAG. City of Everett Official Use Only FEE 44k ( .1; S11�' I(�� E PERMIT# I OwnerlAuthorized Agq'nt Signature Date (Revised 10!12!2015)