2732 GRAND AVE ROYELL MANUFACTURING 2016-08-22

i 0 ELECTRICAL PERMIT APPLICATION OL 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 wvvw.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: BUILDING AREA(if residential, new construction,remodel,or addition)_I_��l>G'j� SF BUILDING TYPE: ❑ SFR-DETACHED ❑SgFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-##OF UNITS: COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltaa�e�: FIRE ALARM? _ ❑YES NO ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: )7pa-)cn of - `f :>"j' ��. �.I��G �7`/�U f, (�r�V 4 �� ` i�r CONTACT INFORMATION OWNER NAME: E--- 1��7��= TENANT)NAME(If Commercial) OWNER MAILING ADDRESS: STREET 7 2 CITY '.."'.�f�..l�''-( / STATE �!�"1`. ZIP OWNER PHONE: -�� o � Py�trOWNER EMAIL: - } CONTRACTOR NAME: �t.•( f ..�L ;-� v CONTRACTOR ADDRESS: STREET STATE V\ r J ZIP L/ 6� d CONTRACTOR PHONE: q �COryN,TTRACTOR EMAIL_—!!r 4:0-rj) — , d0nit CONTRACTOR LIC'.#(REQUIRED):?�e-L7 I E /61V PH CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify)___ CONTACT NAME: CONTACT PHONE: 9,V ,9 �) ? CONTACT EMAIL: �1'G I�>` s'`j mc, (?dwl 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 presurne to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That t 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 f -Z 419Z b(`l 1:t) :1 PERMIT It ZE 54 OwnerlAutho i ed Agent Signature Dale (Revised 10/12/2015)