405 SE EVERETT MALL WAY STARBUCKS 2019-01-16

ELECTRICAL PERMIT4 A�'LICATION 477- 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 PROJECT SITE INFORMATION PROJECT ADDRESS: 605 S E Everitt me 04.3 , rver d , 9420$ -1-A0e'j/7 t"tik$ 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: ArCOMMERCIAL USE OF BUILDING: ELECTRICAL,APPLICATION INFORMA TION CONTRACT PRICE OF WORK:$ ZOO el NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: =1-14.,( I smaf/ AG vr,;-/- -t CONTACT INFORMATION OWNER NAME: TENANT NAME$If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: .,... .4..444_ ,,4..... ..... ,._..._L....,,,C. .a.,y,. ., 44,4 4444y.444 .444..4,, • .••—.._....,...7, 4 w...... ............ ......,..<...44..._.., CONTRACTOR NAME: Pe;ket4 er gfte4r i C CONTRACTOR ADDRESS: STREET /3 gj /5- Q ec."1-or• Ih� CITY 15, STATE 4 ZIP fI23Z CONTRACTOR PHONE: CONTRACTOR EMAIL: Po..aec'V 17.4„4r'4I.co m CONTRACTOR LIC.#(REQUIRED): Peri r\-YCi of JC CITY OF EVERETT BUSINESS LIC.#(REQUIRED):O5-356O PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT:T hereby certify that t 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 '-+gti JO PERMIT# E1601 - 149 /206 Owner/Authorized Agent Signature Da (Revised 10/12/2015)