6311 36TH AVE W JBC PRODUCT MANAGEMENT 2018-09-12

OPECTRICAL PERMIT APIOCATION 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: 6311 30Ate, 1 BUILDING AREA(if residential, new construction, remodel,or addition) GKRvi/ F YO 08 1 BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL [USE OF BUILDING: office wore e ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ 620000 - 00 NUMBER OF DEVICES (if low voltage): FIRE ALARM? DYES ❑ NO ASSOCIATED BUILDING PERMIT# if applicable): nn DESCRI TION OF WORK: � q� a wr ear-- 'W w x-1.00 U 3 M GLve.►� h ` CONTACT INFORMATION OWNER NAME: C dd (l TENANT NAME(If Commercial): TRC OWNER MAILING ADDRESS: STREET Q &K1` 7j CITY / /i S h 1 o STATE C ZIP 337/y / OWNER PHONE: 'SS-q- z33 -a OWNER EMAIL: GLC CCAA1V) CONTRACTOR NAME: CONTRACTOR ADDRESS: STREET WQ vLl S *q � CITY 4p STATE L �� I ZIP ?60 3 CONTRACTOR PHONE: 7. P2,-/?0� C / CONTRACTOR EMAIL: r AA IC Cj Se"(jleC�-rj CONTRACTOR LIC.#(REQUIRED): evOL,� CT ` P C CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0116 10� PRIMARY CONTACT: ❑OWNER XCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: _„1 1� CONTACT PHONE: CONTACTEMAIL: AGREEMENT.I hereby 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 I 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 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 64g Owner/Authorized Agent Signature Da (Revised 9/23/2016)