2433 W MUKILTEO BLVD 2017-03-03 - Laserfiche WebLink

4°77 ECTRICAL PERMIT Al=4.ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:d..."-( 33 W. BUILDING AREA(if residential,new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: L1�t ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ eA2 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES ElNO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: '17 pa.,II,� p /-f I„U,`N— . r-Div 1-c-k* LoC.o/� `E() tve.3.+-rk/' v(Jv1//��T 1 LL�� I%tA back IlP L�Y1�. `p-- -CIn-4-1n 1e -ie l 1,✓� i-� CONTACT INFORMATION OWNER NAME: 7),c't elopvq,o t,,e44TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 1114 Spm L U C CONTRACTOR ADDRESS: STREET Aza..,, CITY STATE WA- ZIP Of g—) CONTRACTOR PHONE:lf 3LL S e.3 CONTRACTOR EMAIL: Mu SOA .e te -Er.sci,Cj e ytia;(V-C&AA_ CONTRACTOR LIC.#(REQUIRED): /1/1/1--S 04E1,6 '(K.] CITY OF EVERETT BUSINESS LIC.#(REQUIRED): -1L)1 1 PRIMARY CONTACT: 0 OWNER 14-CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: it ys,3 Lt5--( , (LSIM � OSon CONTACT EMAIL:Ai`aS01 °1tc`-1t�IMCL5 G1IV1a I • l'v AGREEMENT:T hereby certify that/have read and examined this application and know the same to be true and correct. All provisions of law§-ehd 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 PERMIT# In(' V-o(!).elt, CC'(IAA MA-- 02-01C, E. ((0(A b b l Owner/Authorized Agent Signature Date (Revised 10/12/2015)