2601 SUMMIT AVE BLDG B EVERGREEN RECOVERY 2019-07-05

41LECTRICAL PERMIT Al ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: A&C" J ko ^ J�41G- BUILDING AREA(if residential,new construction, remodel, or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: L � L Ll L ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ l•Qo o — NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ❑ NO ASSOCIATED BUILDING PERMIT#(if applicable): 114 JA,�' DESCRIPTION OF WORK: hu ' �j Ot-71 G� �i IiL Galt,(19t CONTACT L�C`CONTACTINFORMATION OWNER NAME: Cj Ce t1 �"GU k(t vt TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /I�{v(( 1/'- CrrY STATEZIP OWNER PHONE: OWNER EMAIL: 144 CONTRACTOR NAME. CONTRACTOR ADDRESS: STREET '%01 Ellek CITY STATE ZIP Wk/)i CONTRACTOR PHONE: J ,Z1�p CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED). fz �AwJf CITY OF EVERETT BUSINESS LIC.#(REQUIRED) 1� [( PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: �Z� �+ � i-� Qre0 / � CONTACT EMAIL: AGREEMENT.-Thereby certify that/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/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 �J PERMIT# Owner/A o zed Agent signature Date (Revised 10/1272015)