9930 EVERGREEN WAY S&S 2016-08-22

02108,.12016 0 3 : 10 P. 001/001 ELECTRICAL PERMIT APPLICATION CITY OF EVFRFTT PERMIT SERVICES OL 3200 CEDAR STREET, EVFRETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 ((_) everetteps@evarettwa,gov www.everettwa.gov/permits F. 6t n PROJECT ADDRESS: qq 50 (L LA jA L -7— BUILDING AREA(if residCntial, new construction, remodel, or addition) SF IBUILDING TYPE: 0 SFR-DETACHED E SFR-ATTACHInD [7 DUPLEX 13 MULTI-FAMILY-#OF UNITS; Ll COMMERCIAL USE OF13UII-DING: 0 .00 TR CONTRACT PRICE OF WORK: $ aC2 NUMBER OF DEVICES if low voltage): FIRE ALARM? 2 YES 17 NO ASSOCIATED BUILDING PERMIT# (if applicable), DESCRIPTION OF WORK: jQfPkdlc* 1UPAr& C/444 L qrjq rIOK*- Qr- AL A0061-ff t Lai ol"'M C�gz- ou r- erk. /a IF M'& -10-5- 1 ZM OWNER NAME: If Y-j TENANT NAME(if Commercial): OWNER MAILING ADDRESS: STREET jrESTATE ZF OWNER PHONE: IOWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET R6 pp CITY 01wener -- STAT-= 1A ),t ZIPO CONTRACTOR PHONE. )gV Z)6 ( [CONTRACTOR EMAIL: CONTRACTOR LIG. CITY OF F-VeRF7,TT BUSINESS LIC.#(REQLJ1RFzQ)- PRIMARY CONTACT: EJ OWNER ❑CONTRACTOR 171 OTHER(Please Specify) CONTACT NAME: CONTACT PHONF: w )-y/ 06W III I-U aqc— CONTACT EMAIL: AGREEMENT T h6t0by certify that/have road and examined this application and know the same to be true and Co[YOCt All provisions of laws and ordinances governing this type of work will be completed whether specified herein at not The granting of a permit dons not presume to&6 8LJthOf1tV to violate or cancel the provIslons of any oth6r state or local Inv"regulating construction or the patiormance Of construction. That/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 29,5.200 WAC, City of Everett Official use only FE PERMIT# E ( ( 02- 01w, rl/Atitthoii-(..iAig3a.,tSignature .00bate (Revised 1011212015)