607 SE EVERETT MALL WAY SU BEES 2017-05-03

°_"LECTRICAL PERMIT , PLICATION 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: 607 ENe«N �.— BUILDING AREA(if residential, new construction, remodel, or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: XCOMMERCIAL USE OF BUILDING: C0rmffe_1CCia1 ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ Q'J NUMBER OF DEVICES (if low voltage): ' FIRE ALARM? 1�IYES ❑ NO ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: I n al -7, CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): } OWNER MAILING ADDRESS: STREET ,AJ Q 1� 071" 91 CITY Y\j CI ln�l 1{� STATE zip q &A OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Bi T S) i ce-5 CONTRACTOR ADDRESS: STREET /� CIN I, STATE ZIP CONTRACTOR PHONE: -/ . �33c) . af&0 CONTRACTOR EMAIL: ) Yes Sfl .Cd CONTRACTOR LIC.#(REQUIRED):e>r51- I S* c h CITY OF EVERETT BUSINESS LIC.#(REQUI ED): PRIMARY CONTACT: ❑ OWNER XCONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4A5' K-anV CONTACT EMAIL: Sl rt\,3n,eorNi 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 property to perform the work for which application is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# r.11 k-) � �is` 01ner/Aut orized Agent ignatur Date (Revised 10/12/2015)