2916 STATE ST 202 GRANDMAS GARDEN 2017-03-06

- 1_,ECCTRICAL PERMIT PLIICA ON ,." CITY OF EVERETT PERMIT JLI DICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 ] (E) everetteps@everettwa.gov] www.everettwa.gov/permits PROJECT PROJECT ADDRESS: '2-q i(0 STa S!. 2 BUILDING AREA(if residential, new construction, remodel, or addition) /be'0 SF BUILDING TYPE:.0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: gf COMMERCIAL USE OF BUILDING: A e-IC ULTU ELECTRICAL APPLICATION IINFORIVIATIO d CONTRACT PRICE OF WORK:$ `=- NUMBER OF DEVICES(if low voltage): itcilME S • FIRE ALARM? 0 YES ,I7'NO ASSOCIATED BUILDING PERMIT#(if applicable): E-716,03_139 DESCRIPTION OF WORK: /.tssrau-4-7-/0v aFSEcv2r�Y c-dwI45 IQ ssczr4-rE42 �G��I�S�awres� C -E-• r- - • COIi�TACT:I.NFORN1AT10N � �-."• . ,- . OWNER NAME: 1=/2STT LL( TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREEr 24 cITY ✓Et "77 STATE 1.4.1.4 - ZIP 99jZo OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: CIl4P/6fdiii /��C CONTRACTOR ADDRESS: STREET h/�/,//�`/,/•c 450771 40 ��E S CITY i 1b STATE 11-4d• Z P CONTRACTOR PHONE: WS.- P75 CONTRACTOR EMAIL: C/-IdJRWJ.di GTPG•t-)/-ci Gnl'M I .- •C0a4 CONTRACTOR LIC.#(REQUIRED): C(.1 APM k (-1'4(9 WM/ q„ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):4)5.c4i51 PRIMARY CONTACT: 0 OWNER 2'CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: Gf2S Sic. 3377 e—Lt4 4-p CONTACT EMAIL: 6_.3 (* .arvyt,) -F�'i l C�1.1(.J-C - 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 properly 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# .711 F 0 - 005 a)/6 Owner/Au M A..ignatur• Date (Revised 10/12/2015)