6229 W MAGNOLIA AVE 2018-01-02 MF Import

6LECTRICAL PERMIT AWLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 C-1 6 O , _OL93 (P) 425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I mmeverettwa.govlpermits PROJECT SITE INFORMATION PROJECTADDRESS: ippr�L pp Aim' Irva Ief -v�t/nre (4 Cr 1a BUILDING AREA (if residential, new construction, remodel, or additiln) q0 D SF BUILDING TYPE: FR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY - At OF UNITS: ❑ COMMERCIAL USE OF BUILDING: -,-r ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 161� dU NUMBER OF DEVICES (if low voltage): FIRE ALARM? YES ❑ NO ASSOCIATED BUILDING PERMIT # if applicable): DESCRIPTION OF WORK: () l n 4nnj by - CONTACT INFORMATION OWNER NAME.: IffM YG( 11u0— TENANT NAME (If Commercial): OWNER MAILING ADDRESS: STREET O / I u ia Yl I i a . Cltt -e STATE W � Z:P aO �1 OWNER PHONE: W p I O - (01 OWNER EMAIL: CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET CRY SLATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: CONTRACTOR LIC. #(REQUIRED): CITY OF EVERETT BUSINESS LIC. #IREQUIRED)u PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT. T hereby certify that I have mad and examined this application and know the same to be Ira 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 aulhonly to violate or cancel the provisions of any other slate or locallaw mgulating construction or!ho perf0mance of c nstmclion. 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 1 e.27 RCW and 296200 WAC. 3/f / 9-01� Agent Signature City of Everett Official Use Only FEE 4 PERMIT# (Revised 10/12/2015)