1606 SE EVERETT MALL WAY 2019-10-25

ECTRICAL PERMIT API CATION 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 1 www.everettwa.gov/permits I -- rr`` -- PROJECT SITE INFORMATIONr rr PROJECT ADDRESS: I 1.Q V to S C V'f�t-e Y✓l 1A770—SF - 11 / w BUILDING AREA(if residential, new construction, remodel,or addition) W 1l/ —SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ y tau NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES a—NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: I '�,w(rc\, 'P �L � ` t(- F�1 1 (-t cu w�r vv c,4tA, S l t�n.�e-� W 1U citAAr� ` CONTACT INFORMATION OWNER NAME: S\--QJI/W� k11 11 1U. ( TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET I lQ 0 s 1 Lu K-- MILOt kJ CITY V STATE ZIP 9 -iv c' OWNER PHONE: 3 1Q U''"II`` � T1 Ib OWNER EMAIL: CONTRACTOR NAME: fYV •C-C---AWA CONTRACTOR ADDRESS: STREET ZZUZ(g (- S • CITY 4A/14- STATE L }A- ZIP t 'O3,� . CONTRACTOR PHONE: 2,S3 -Y- 1U7-O CONTRACTOR EMAIL: 3CIA.vf��"s' ti 4�Y -(Y=Q(JWIQ,I ( CJ,U�044-(AA/L.- CONTRACTOR LIC.#(REQUIRED): 911--01-6("25,s,- ri CITY OF EVERETT BUSINESS LIC.#(REQUIRED):c 4,416 PRIMARY CONTACT: 0 OWNER VI-CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: . r CONTACT PHONE: 2 3-3�g- iu t ^ /� CONTACT EMAIL: 'he yy'r� �5 - Jr- 't-toq�- AGREEMENT:T hereby certify that/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 PERMIT# E -5I (0o -7- 003 Owned• tlior'•,d Agent Signature Date (Revised 10/12/2015)