1305 SE EVERETT MALL WAY RED ROBIN 2017-01-13

�ECTRICAL PERMIT A�LICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 6� � �'Zj -�j �, ��'2�� A-L � �'/V/� BUILDING AREA (if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: COMMERCIAL USE OF BUILDING: �(r-�-�j -�t n ��- ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ p� ,----- NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: Ej �, � � � (C� �GtTLC-� -�� 'V� r�(i`O K/kj-� CONTACT INFORMATION OWNER NAME: J,� �p /,�f TENANT NAME (If Commercial): 5 ja.�l� OWNER MAILING ADDRESS: sTReEr � V��L �� ✓-�-LL `Y�V�" CITY �' V�Q- Ei T J� STATE Y�/ Ii ;�� ZIP ! u'�`�� OWNER PHONE, OWNER EMAIL: / CONTRACTOR NAME: %7/% I ��,�,I `� � ✓i�G- i j�1G � CONTRACTOR ADDRESS: sTReeT � C(J/% �jV CITY � STATE ZIP CJ � CONTRACTOR PHONE: � — 'j�c� CONTRACTOR EMAIL: CONTRACTOR LIC. #(REQUIRED): CITY OF EVERETT BUSINESS LIC. #(REC2UIRED): C7 ��J� �� PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR Q�OTHER (Please Specify) �° /�(S% /Q-�.� /� ��% i�D l� CONTACT NAME: CONTACT PHONE: �(0 2� �/ �'j� � /� � CONTACT EMAIL: �h ��u� � �-�yl�' , d'� ��%��L,�d',h AGREEMENT: T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of /aws and ordinances goveming this type of work will be completed whether specified herein or not. The granfing of a permit does not p�esume to give aufhonty to violafe or cancel the provisions of any othe� state or local law regulating construction o� the performance of construction. That l am authorized by the owner of this property to perform the work for which application is made and I comply with the State Cont�actors Law 18.27 RCW and 296.200 WAC. City of Everett Otficial Use Only FEE � �i , � �;� PERMIT # ,� �� ��,��,�� � (Revised 10/12/2015)