1710 W MARINE VIEW DR 2017-03-03

4E77' ECTRICAL PERMIT A•LICATION 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 I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: /7!C�� (,t�Q /�l�/�il/ l/7P_,- V f e-1/0 ..-- K-t BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED El DUPLEX ❑ MULTI-FAMILY-#OF UNITS: )COMMERCIAL USE OF BUILDING: / ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ :A C/;@t NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES I1O ASSOCIATED BUILDING PERMIT#(if appli ab e): � /(0t)S^ 0 1-7 - DESCRIPTION OF WORK: � teaD D ICu VC P, e.-r-410 4 �' _A/l f (r , 7 J�/� �A / CONTACT INFORMATION OWNER NAME: ` . s� t.YE0 P TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME:.y 1 r2 7 �(`63'—d—rIC___ CONTRACTOR ADDRESS: sTR Tn /[ J (p 6"thL £ .zz)� Q CITY I el j,o/ / STATE PC ZIP L g CONTRACTOR PHONE: LIZS 7s---0-3467._ CONTRACTOR EMAIL:��2Cd ; r2(/,Syd%/1T' /GeLL�sL( CONTRACTOR LIC.#(REQUIRED): 7 , 'Q-PCC-13,S tit (() CITY OF EVERETT BUSINESS LIC.#( QUIRED):0� ' cy PRIMARY CONTACT: ❑ OWNER ( CONTRACTOR 0 OTHER(Please Specify) CO TAUT NAM : CONTACT PHONE: Va 75-6k : Z --3 1-A0E- / CONTACT EMAIL: AGREEMENT:T hereby ce i y 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 \ 02_ . 50 PERMIT# 2)/",(6Ard),vA: (1/4, (9 E 1(.00%.- O Owner/Authorized Agent Signa re Date (Revised 10/12/2015)