3326 PAINE AVE WOOD MONSTERS 2018-12-20

ELECTRICAL PERMIT APPLICATION #1111P°01 -A►1� _ CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION • PROJECT ADDRESS: 33 )6 /Cf�ili j /10&- BUILDING 1t'BUILDING AREA(if residential,new construction, remodel,or addition) SF • BUILDING TYPE: ❑ SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ Ot NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 2r-NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: /1,06 (3'hiCI+ L,'Lc I CONTACT INFORMATION OWNER NAME: 6 L1i16..1 TENANT NAME(If Commercial): SagPle Jry Tiie A OWNER MAILING ADDRESS: STREET -3 r7 � ! i CITY (�V�%fi 1 t STATE w`� ZIP I .Gt OWNER PHONE: .3 LPt% `dU'v('&-I OWNER EMAIL: Ilrw` rvi 0 h. fry ya�vt. CG.vt CONTRACTOR NAME: Dahl Electric, Inc. CONTRACTOR ADDRESS: STREET 3409 McDougall Ave clrr Everett STATE WA ZIP 98201 CONTRACTOR PHONE: 425-252-1700 CONTRACTOR EMAIL: dstevens@dahlelectric.com CONTRACTOR LIC.#(REQUIRED): DAHLEE1926QD CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 037024 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: 'CONTACT PHONE: 360-661-0511 'Dan Stevens CONTACT EMAIL:dstevens@dahleleCtric.Com AGREEMENT:I 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 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 /7) / PERMIT# 7 E '', j ''uf n2) • Owner/Authorized Agent Signature Date (Revised 9/23/2016)