11632 EVERGREEN WAY HAPPY SPA 2017-01-17

OrETT ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits I, , JECT SITE INFORMATION //�� PROJECT ADDRESS: ( 1\ 32 . } S t,t�.,t✓, � . .aV&R&T T U(-1 i 204 BUILDING AREA(if residential, new construction, remodel, or addition) ( , 3'( SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX D MULTI-FAMILY-#OF UNITS: V COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ Orb-`) NUMBER OF DEVICES (if,low voltage): FIRE ALARM? LYES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): U I t 12 — 004. DESCRIPTION OF WORK: 2-00A 3�hQ se 72S,(-k--t\ To -X I C—I yup CONTACT INFORMATION OWNER NAME: \r©Nq 1)aki TENANT NAME(If Commercial): }-pis? STA OWNER MAILING ADDRESS: STREET L 2 l IQ ECA Cf y` 1I}1U U �T � R' ")^`' STATE (01 OWNER PHONE: 12� - - SC-2_,Z, OWNER EMAIL: r� CONTRACTOR NAME: c- a-M 7- -01 l n0 1U y T nn_ _ • CONTRACTOR ADDRESS: E ;Tr�-F S O . ( c-f , 4'-A Ta 'N/ {'` Lc)1�s STATE CONTRACTOR PHONE: 2S ----- Z -b — G � CONTRACTOR EMAIL: j �Wi a cam{- Sl. w, rtr,cj _cer CONTRACTOR LIC.#(R USE I4•-2-1 8a�C:9' CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER S"CONTRACTOR 0 OTHER(Please Specify) `l , CONTACT NAME: CONTACT PHONE: 2 5 3 — 2-2-b — 4CP O '-0)U IM�,S � �,� CONTACT EMAIL: -�-/�1GlMA 5 d s V%,,, n h r-J l��JL,� 6vAkt AGREEMENT:T 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 4V PERMIT# i�- z� � � E t2H - ' Own r/Authorized Agent Signature Date (Revised 10/12/2015)