3001 SMITH AVE N CASCADE BUILDING MATERIALS 2022-03-23

11/08/2016 11:43 "123y P 001/001 • • ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES OL 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425-257-8857 J (E) everetteps ageverettwa.gov I www.everettwa_gav/permits PROJECT SITE INFORMATION PROJECT ADDRESS; Q o i X.4f( lC. RUILAING AREA (if residential, now construction, remodel, or addition) SF BUILDING TYPE: FI SFR-DETACHED ❑ SFR-ATTACHFD Q DUPLEX ❑ MULTI -FAMILY - # OF UNITS; p COMMERCIAL uSE OF BUILDING: q u i l—I) I A-4 e, "rv? ELECTRICAL. APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ SQQ — NUMBER OF DF-VICES if low voltage FIRE ALARM? CI YFS Q NO ASSOCIATED BUILDING PERMIT 4 if a licable): DESCRIPTION OF WORK: ) e- G l Ct C A / 6,t�Fl o CONTACT INFORMATION OWNER NAMF: y lJ" IA,411 .ir fj T NAME If Commercial); OWNER MAILING ADDRESS: TMEEr 3d�d / 'f/ CrrY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: S MST CITYFVEAgSTATE ZIP CONTRACTOR PHONE: Ya�+ ) .214 CONTRACTOR EMAIL: CONTRACTOP LIC. #(REOUIREP): CITY OF EVERETT BUSINESS LIC. #(REQUIRED): PRIMARY CONTACT: p OWNER Q CONTRACTOR 21DTHER (Please Specify) CONTACT NAMF: - �� ('0A /U,f IL/ US 6 ;RirX" CONTACT PHONE: Z CONTACT EMAIL: AGREEMENT T naroby cefvey ins: i nave read and CX=06d this application and know the same to be true and correct, All provisions of laws and ordinancas governing this type of work v✓lli be completed whetherspecfied herein ornot. The grantin0 of permit does not presume to give authorkv to violate or cancel the provisions of any other state or locallaW regulating cbnstruciion or iha performance of instruction. That / am &uthorJzed by the owner of this proparty to perform, the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 2J6.200 WAr~ Agent Signature City of Everett Official Use Only FEE PERMIT # E 1(,(�,C)29 (Revised 1011212015)