2730 FEDERAL AVE EVERETT SHIPYARD 2018-11-05

16LECTRICAL PERMIT AOLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.evereftwa.gov/permits PROJECT SITE INFORMATION PROJECTADDRESS: 2730 D6eAQ JoV-6 ,e61r BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 19 COMMERCIAL USE OF BUILDING: 616cm,C `y6r- c_e_ ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: f l l Poe 6(6,- i ell CTAb� CONTACT INFORMATION OWNER NAME: `// n ACI ISEVb e677- TENANT NAME(If Commercial): V/COQ /✓1�l?J/�� OWNER MAILING ADDRESS: STREET /8(W / _r"'/AV- S VO CITY W DQ STATE /3 T ZIP OWNER PHONE: 7_00 6Z-3 OWNER EMAIL: CIL' CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: DOWNER ❑ CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: [C:O ONTACT PHONE: 2-06 _ NTACT EMAIL: �o�,v.SC�Q�VC�� (W ��r" Ok°�✓,'A2i��6 .�od`�' AGREEMENT:Thereby 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 10 PERMIT# F, Owner/Authorized A( gnature Date (Revised 10/12/2015)