3615 MCDOUGALL AVE EVERETT DOWNTOWN STORAGE 2019-12-09

RECTRICAL PERMIT APICATION CITY OF EVERETT PERMIT SERVICES <� 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 ( (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:, 15 ( ' c Ve"V' BUILDING AREA(if residential, new construction,remodel,or addition) SF 13UILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS:_ COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES if low voltage): c FIRE ALARM? ❑YES XJ NO ASSOCIATED BUILDING PERMIT#(if applicable): _ DESCRIPTION OF WORK: 'n �tj),A 1 C V ,j"-}+ CONTACT INFORMATION OWNER NAME: '5 n' }� TENANT NAME(if Commercial): - -' Lu OWNER MAILING ADDRESS: STREET IC,5 Lnn r 6 G� l 1 - CITY W STATE )j"1�✓ ` ZIP OWNER PHONE: ''!.' OWNER EMAIL: t CONTRACTOR NAME: Get t Gu�C C` tC, CONTRACTOR ADDRESS: STREET , Citt f ) STATE CONTRACTOR PHONE:5 " `f((,,j'0 0) CONTRACTOR EMAIL: I'} ,' U:-1 �l?-�?t CONTRACTOR LIC.#(REQUIRED): � C CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 3C s! PRIMARY CONTACT: 1 OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: kCONTACT PHONE; (NTACT EMA]L: 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/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 1 PERMIT# �) E ?? l 003 0_I1 ner/Authorized Agent Signature Date (Revised 10/12/2015)