6600 MERRILL CREEK PKY BLDG B SHELL 2017-06-22

RECTRICAL PERMIT AP. It_ICATION 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: 6600 Merl'i'! l Week A&W379 i Svc ' -501 "T BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: AkGOMMERCIAL USE OF BUILDING: waw " e_ Q k-e ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 78 S.00 NUMBER OF DEVICES if low voltage): FIRE ALARM? ❑ YES PLINO ASSOCIATED BUILDING PERMIT# if applicable : DESCRIPTION OF WORK: � ) ow4r fnt:,le- �v6 # qjqs - CONTACT INFORMATION OWNER NAME: A(1 t c L TENANT NAME If Commercial): �G v4 OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: Pr,' le,C' CONTRACTOR ADDRESS: STREET �Q13/33 111L �f CITY I "AA_ STATE CONTRACTOR PHONE: CONTRACTOR EMAIL: W► eN /' CONTRACTOR LIC.#(REQUIRED): �RrQ>:� t777 ! CITY OF EVERETT BUSINESS LIC.#(REQUIRED):02 11 7 PRIMARY CONTACT: ❑OWNER %CONTRACTOR ❑ OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: �( / CONTACT EMAIL: Gle�i�, ✓','C_ eco i AGREEMENT:Thereby 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 his 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 trade and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE X2 .0 PERMIT# Owne Authorized Agent Signature Date (Revised 10/12/2015)