5317 EVERGREEN WAY ADHES TAQUERIA 2020-01-28

ELECTRICAL PERMIT APPLICATION 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 I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: , c7 J—::z 0 BUILDING AREA(if residential, new construction, remo or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: 6 UC _ --'J I V. V ) EL RICAL APPLICATION INFORMATION �1 CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO >> ASSOCIATED BUILDING PERMIT#(if applicable ._ DESCRIPTION OF WORK: cr-4 C C 0 HP CONTACT INFORMATION OWNER C TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET U'`p�1L`� \"�S� �• CITY C j�c7 STATE V"" ZIP (�O OWNER PHONE: Ztps 6WNER EMAIL: t',A� CONTRACTOR NAME: Y'� JP h, c-'- CONTRACTOR ADDRESS: STREET D 9 CITY ` V STATE ZIP CONTRACTOR PHONE 6 3I 1 f� pZ� CONTRACTOR EMAIL: U GY' t Cb` CONTRACTOR LIC.#(REQUIRED): �L ?J�� CITY OF EVERETT B ESS LIC.#(REQUIRED)�w / PRIMARY CONTACT: ❑OWNER ONTRACTOR ❑OTHER(Please Specify) CONTAC NAME: CONTACT PHON 60 CONTACT EMAIL: AGREEMENT.,T hereby ertify at l have read and examined this application and know the same to be true and co ect. All provisions of laws and ordinances governing this type of work will be comp/e her specified herein or not. The granting of a permit does not presume to give aut onty to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That/am authorized by the owner of this property to perform the work for which application is made and t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# >> a E Owner/Authorized Agint Signature tate J (Revised 10/12/2015)