2901 RUCKER AVE OPUS BANK 2017-06-29

��ECTRICAL PERMIT AP�ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits ' PROJECT StTE INFORMATION ' PROJECT ADDRESS: .� ��/� �,� �, � _ �:�,,-; .a`— �/� BUILDING AREA(if residential, new construction re d I,,or addition) / � ' SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: �z /� �;� ELECTRIGAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ � •i �� NUMBER OF DEVICES (if low voltage): — �� 1.- f� FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ' G ^-7/� ��,�' l�, . � —,,v� �'-�,-� � ;�'��i ' �/!�" 'i/��` ��i�` =i, ��; �< 'CONTACT'INP�RMATION OWNER NAME: 5�-; %,��/�- � �' �,��jN �'r � ��', �-��, TENANT NAME(If Commercial): L.i - � � /�'.4,iv�'�" OWNER MAILING ADDRESS: sTReer ' /' S - ; 7 CITY :�/f.� "� STATE -V i�� ZIP `1 S�.+Zi� .. OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: � '/1 . �i �/ - �,, �i- CONTRACTOR ADDRESS: sTReeT — � (��1.� -- CITY Y 'N/ �� STATE �/`� ZIP �'�'.�L� CONTRACTOR PHONE: �,�,�j- ;;�-' - r; .!�`� CONTRACTOR EMAIL: ' j,��/;�C,j.�'� ,' ;j � �LG.`� ` ''/ ti '�! l ;:�?'� CONTRACTOR LIC.#(REQUIRED): 'i�r-� '' ''�_ %�'✓ � � " CITY OF EVERETT BUSINESS LIC.#(REQUIRED): U�5'C S PRIMARY CONTACT: ❑OWNER � CONTRACTOR I�.O�kJER(Please Specify) -%�;��-�!i�� a�"f=i� CONTACT NAME: CONTACT PHONE: ; � _ � � _" I-G i L'� l��' �� CONTACT EMAIL: �j�`%�f��c%;�v -c' � '�fL L S ,��%.,,y.' � • �,j AGREEM NT: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 wil!be comp/eted whether specified herein or not. The granting of a permit does not presume fo g�ve authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to pertorm 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 � - � �- �-'��, PERMIT# , , % = i , E � ��' �� �� ___- ,-� , �, ,," - � �� .- ` _ �_ / : Ow,De AuthQrifed Agent Signature Date (Revised 10/12/2015)