1130 SE EVERETT MALL WAY SUITE #B JERSEY MIKES SUBS 2017-04-20

SLECTRICAL PERMIT APWICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: I I �jO tr eve PlAo'd/ (V S f BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 4W COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ Ze ' NUMBER OF DEVICES if low voltage): � (-6t.1 U64aft 1,60 C aln" FIRE ALARM? ❑YES IN NO ASSOCIATED BUILDING PERMIT# (if applicable):_ DESCRIPTION OF WORK: ' ZJS7 ^i / ovL� Zrs✓ V/D/1-4 t �( CONTACT INFORMATION OWNER NAM E:,5 1 (?V.0 -* U(1(a LLL TENANT NAME(If Commercial):J" A Sulo 5 OWNER MAILING ADDRESS: STREETl. 1 Q LZO T` it/ } 3 adv CITY ✓�� ✓G�l{4 S I S ed STATE C ZIP S t OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: S lei k, Tec Li &1-6c At L 41 CONTRACTOR ADDRESS: STREEI 3 e- j / CITY F / STATE 7P Z CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED)::n C?N T� Lq 8�� CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O 3 PRIMARY CONTACT: ❑ OWNER 11 CONTRACTOR ❑OTHER (Please Specify) CON TME: / CONTACT PHONE: �J �Oul/ CONTACT EMAIL: � S / CG C AGREEMENT:T hereby certify that/hav 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 l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE t5 1 / PERMIT# Owner/Authorized Agent Signature ate (Revised 10/12/2015)