2000 TOWER ST BASE FILE 2017-07-26

ELECTRIC L PER'v I p CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits • PROJECT SITE INFORMATION PROJECT ADDRESS: �. $e Ve- :_ V,'1 - _ c ` \AIL BUILDING AREA(if residential, new construction, remodel, or addition) 0 • Cf; •\-% SF BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ,COMMERCIAL USE OF BUILDING: f7 c 0 e $ ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ •3OO O C� NUMBER OF DEVICES (if low voltage): 1 6 FIRE ALARM? ❑YES XNO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: C C�$ \�� CONTACT INFORMATION OWNER NAME: QC eS con 1:1 �� Q, TENANT NAME(If Commercial): r-..")0Lc NCS Q vi c lv OtO `t- OWNER OWNER MAILING ADDRESS: STREET �} ��j�Z`e ��\r' 1 LA V l k CITY \-- tl�cekk STATE ) I,‘ ZIP CV Za1 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: AA 1 I-I A 11- 13 E l O . `S ftp An CONTRACTOR ADDRESS: STREET Z301 1 T I s e CITY T/-I C t M'I 4 STATE W 4 ZIP S CONTRACTOR PHONE:2�3 3g I , ' C)11..1 CONTRACTOR EMAIL: beic }-r?i"c4tat,„( B) ( ..(:i CONTRACTOR LIC.#(REQUIRED) v t_�C S c&5 L4 t� CITY OF EVERETT BUSINESS LIC.#(REQUIR JJ \ PRIMARY CONTACT: El OWNER r..CONTRACTOR 0 OTHER(Please Specify) CO11NTACT NAME: ( ( CONTACT PHONE: 2r�� / t1�1 1 \e„.1l c'_.\ 0 LA CONTACT EMAIL:(hr.I (ILL 1,r)1, ) L' I-)-) 0 I , C t.-7-1 AGREEMENT:T hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and8inances 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# Job 07 / 6 Owner/Autnarized Agent Signature Date (Revised 10/12/2015)