6305 36TH AVE W B FUNKO 2016-06-02

ei40%1fr;--A 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@everettwa.gov I www.everettwa.gov/permits _e1,g . PROJECT SITE INF9„RNATI911� ; h, PROJECT ADDRESS: 6,_30,_5— C' ,BOJ— 341‹7 4 Ave LJ ktip-,, /3 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: L7 COMMERCIAL USE OF BUILDING: ,:,fr ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ /s 7 7 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES D-Nb ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: /G 0 C.,,� �Pc c� - 0744 e ,/ems CON7ACtINFORMATION OWNER NAME: / // I TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET )2..ay .0 k -c k s af-z I Il /y CITY (/{/"fir� STATE t. A- ZIP 9 r, o P OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 13 o ✓rew C/e �''i`C. 1- CONTRACTOR CONTRACTOR ADDRESS: STREET // 72 7 16,/, f 7 i A: /tot.,,/ CITY /3(/V i' �ti STATE f4JA ZIP qp¢� 8,3 CONTRACTOR PHONE: t/)f= 130 8-.00 _CONTRACTOR EMAIL: e � -04rr e 6 y e Je c v _, rye)7- CONTRACTOR LIC.#(REQUIRED): /3� Y V. L 3 S '//V/C. CITY OF EVERETT BUSINESS LIC.#(REQUIRED): OS''ti�2g/ CO PRIMARY CONTACT: ❑OWNER L3 NTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4‘-‘,..,s.65.„,7 CONTACT EMAIL: C44.,c/c h e >s / /v ✓>L Is_ AGREEMENT:T 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 FEE MI 1-3r) PERMIT# &-Gr.-4( ��;— E 1511- 5 Owner/Authorized Agent Signature Date (Revised 10/12/2015)