6301 36TH AVE W FLOWERS BAKING 2017-03-10

ECTRICAL PERMIT Al (CATION 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 tt PROJECT ADDRESS: (,., sok. 3(p"1"hCueTck-!- U�tG .4 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: EOMMERCIAL USE OF BUILDING: W Ct.Ce.(tic.,2e, (�C S L e ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ s c,Q NUMBER OF DEVICES (if low voltage): 6-71- FIRE FIRE ALARM? ;AYES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: t -C.. & rry- r (\ o-c4 CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): 7,0L.L.G1S OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 0l Fl-e (-- CONTRACTOR ADDRESS: STREETS$ Wk..sh2a3Av-e- CITY k¢r1.i- STATE \AJA- ZIP CONTRACTOR PHONE: c-25 S c(0 S CONTRACTOR EMAIL:d I v.s(-&'% C) -erl c ; rip CONTRACTOR LIC.#(REQUIRED): OL ,l:-ND CITY OF EVER BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: o2 5-3 --U 7;2.� TO (i-t ciA CONTACT EMAIL: u S F`nc„ie, 5eileC2c c AGREEMENT:T hereby certify that I hive read and examined this application and know the same to be true ra411 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 Olt° PERMIT# i t 51/ ' E -03( ner/Autho`zfrd Agent Signature Date (Revised 10/12/2015)