3040 W MARINE VIEW DR 2018-07-11

�— 4FL ECTRIC ALS PERNIff AWMATION ,�. CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov www.everettwa.gov/permits PROJEGT SITE INFORMATION . . PROJECT ADDRESS: 3o ya k) tfiv vi&q Pr (514"'t 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: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: P1k4 r7e,— NUMBER OF DEVICES (if low voltage): II FIRE ALARM? ❑YES ❑ NO �{ ASSOCIATED BUILDING PERMIT# (if applicable): DESCRIPTION OF WORK: etec.vCd senrN -IT C Inti + COMTAC7 RMFORMATION OWNER NAME: er{, TENANT NAME(If Commercial): N1 OWNER MAILING ADDR SS: srREEr CITY SIA 1 E Zip OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: E 160 AWr� CONTRACTOR ADDRESS: STREET 7 e--S+ S W CITY �vc STATE W ZIP CONTRACTOR PHONE: y2 S - 7S- S 00 CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQU RED; Q p6 t(�3 CITY OF EVERETT BUSINESS LIC,#(REQUIRED): PRIMARY CONTACT; OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: I CONTACT PHONE: yds_ 125?_ $qa 6 kunckk �IC,kfrIS CONTACT EMAIL: erichard Q 1j"*c)4kav AGREEMENT.-Thereby certify that/have read and examined this application and know the same to be true and correct. All provisions of/awY 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# Owner/Authorized Agent Signature Oate (Revised 10/12/2015)