2710 GRAND AVE ROYELL MANUFACTURING 2017-06-02

CTRICAL PERMIT AP#LICATION 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 vwvw.everettwa.gov/permits PROJECT SITE INFO}R,MATION-7 PROJECT ADDRESS: { o r �'G VV 2 ZlC 1 BUILDING AREA(if residential,new construction,remodel,or addition) ►=J SF BUILDING TYPE: O SFR-DETACHED ❑ SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: 3 l NUMBER OF DEVICES if low voltage): FIRE ALARM? 0 YES O ASSOCIATED BUILDING PERMIT# if applicable): DESCRIPTION OF WORK: "- a"-175(2 0111V CONTACT INFORMATION OWNER NAME: �L �} i TE //T NAME If Commercial): OWNER MAILING ADDRESS: suer V CITY U STATE V f , " Ll EMAIL: v OWNER PHONE: i C CONTRACTOR NAME: �� + C �� V► I+ CONTRACTOR ADDRESS: _STREET c" ' C" dd STATTE�0-en 4o n LP CONTRACTOR PHONE: 1 CONTRACTOR EMAIL: CONTRACTOR UCITY OF EVERETT ESS U C.#(REQUIRED): ` �� C. ? l J TT BUSINESS #(REQUIRED):O PRIMARY CONTACT: O OWNER ONTRACTOR O OTHER(Please Specify) CONTACT NAuc• ip) CONTACT PHONE: ^} -- 1 C CONTACT EMAIL: AGREEMENT Thereby certify that t 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 heroin 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 t am authorized by the owner of this property to perform the work for which application is made and 1 comply with the State Contractors Law 98.27 RCW and 296.200 WAC. City of Everett Oficial Use Only FEE {, ) PERMIT# � .1 1r6 E 02- Owner/Authorized Aiient Signature Daio (Revised 1 112/2015)