1205 CRAFTSMAN WAY SLIP 16 DOCK H 2021-12-06

•ELECTRCAL PERMIT IICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 J FAX 425-257-8857 J (E) everetteps@everettwa.gov J www.everettwa.gov/permits .bd C1 Wirt.1(1 11 G 9 .':`[ If Y >;,:. PROJECT ADDRESS: t 6. ln&CX04-114 4.6 BUILDING AREA(if residential,new construction,remodel, or addition) SF • BUILDING TYPE: ❑SFR-DETACHED El SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: OMMERCIAL USE OF BUILDING: k--\; .Ase_ - :: : •ELECTRICAL CTiRI AL IPC'LIMAT110i' QNIF®RMIA'TIPO •:>,, : .:' CONTRACT PRICE OF WORK:$ `NUMBER OF DEVICES(if low voltage):, FIRE ALARM? El YES '1d NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: C\4204t-'\X u � -Aq tZ 4`4 .c CL VL9_,..\Ij OWNER NAME. b3/� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: "'(NL'1� 5 . ., :• •.•• '. ��, CONTRACTOR ADDRESS: sTREEr 6810 ---S-19PL33( V—NCA cRY � �� V STATE kkj ZIP CONTRACTOR PHONE:t(Z .)2«-713' CONTRACTOR EMAIL:' l��v�� ,l� �JW1 �'C_b✓ . d ONTRACTOR LIG#(REQUIRED)^ �� w R VVN �`Y`Y y CITY OF EVERETT BUSINESS LIC.#(REQUIRED)L �„_ ___v x. PRIMARY CONTACT: D OWNER // CQNTRACTOR 1:1 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: t•..tZ 5) �� , CONTACT EMAIL: Ito,0 /\ 4,1 \ 0..L. �rt/1�jL(ov\ AGREEMENT: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 dreances 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 296.20b WAG. City of Everett Official Use Only FEE /OW PERMIT# •caner/ Signature ' late (Revised 10/12/2015)