2810 W MARINE VIEW DR 2021-12-17

lik ECTRIIC AL PERMIT AP IICAT ON CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov! www.everettwa.gov/permits PROJECT SITE FM-iVIATI10, PROJECT ADDRESS: 240 /A , Y f, ii" \l/&z-L) Pg v`5— BUILDING AREA(if residential, new construction,remodel, or addition) SF //ty11/ Ze BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: COMMERCIAL IUSE OF BUILDING: 1/t j1p -f t_ECTRICAL A.'PL1ICATIIC�`GRii IIN F��_?r<IATITON CONTRACT PRICE OF WORK: rZ • NUMBER OF DEVICES(if low volt.:- FIRE ALARM? ❑YES %1\10 ASSOCIATED BUILDING PERMIT#(if `applicable): p DESCRIPTION OF WORK: ` 14N ox.) 3" I' c-0/JcJ 1 Po le-- 200 L.rk b � r—. (Ayrp,5"c to` ) vt.1 D - 7-gtPc-V-`, CONTACT INFORMATION OWNER NAME: tAty�(rsa� ` TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 4 -Yl CIiY &NF C-��Ir- STATE ZIP N7.2-61 OWNER PHONE: OWNER EMAIL: ... ,»gyp.,:. . . ,. CONTRACTOR NAME: yV f J6)iiE/-- /' (t-'rL� r�- CONTRACTOR ADDRESS: STREET /2..02. /P 1 t CITY //STATE 1/�/ ,�..��,,`` ZIP 21.) CONTRACTOR PHONE: J( 2 7€75t c/(6. CONTRACTOR EMAIL: r//e/ -LC�P�/ / (4 l V.,e-L90 CONTRACTOR LIC.#(REQUIRED): pf"ts216 6 e-f� 3O CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 59 C4 PRIMARY CONTACT: ❑OWNER M CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: j CONTACT PHONE: 3 • , CFc//L1e CONTACT EMAIL: /4-clPJ&r 4/c_:,(cG y . .. .. _ AGREEMENT:T hereby certify that I hat/4 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 l am authorized by the owner of this property to perform the work for which application is made and! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE O PERMIT 70// — ASS Owner/Authorized Agent Signature Date (Revised 10/12/2015)