221 SE EVERETT MALL WAY A T AND T 2019-03-18

4ETT ELECTRICAL PERMIT AIIPLICATION 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 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2_ Sc= Etj( - e 1 L` \may' M Cf BUILDING AREA(if residential, new construction, remodel, or addition) 3 CCC, ( SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: RSCOMMERCIAL USE OF BUILDING: 4-1---fry LECT' ICAL APPLICATION INFORMATION CONTRACT PRICE OF WORD. : $ f NUMBER OF DEVICES (if lo voltage): FIRE ALARM? ❑YES ". ❑ • ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: i for .•I vi . rt-c), ��[[c�1:1 l tJ L,/j t I p 076._ o'C k1v CONTACT INFORMATION OWNER NAME: 5 h I I1 1✓r TENANT NAME(If Commercial): A T T. OWNER MAILING ADDRESS: STREET 2/L- ,sy' �; 1/. V-e ,1 �Cc.LL \/►�i3C C� Je Y CITY ver STATE V✓ ZIP Or- OWNER PHONE: LI 2_5— I OWNER EMAIL: CONTRACTOR NAME: 6- f � ,"rj u cr ; CONTRACTOR ADDRESS: STREET ':(ti./�-f W J- 'J� r' ,G J Vet r.2.-7-e i7- STATE ZIP 2:7-0 ( CONTRACTOR PHONE: 1,c Z-'7' CONTRACTOR EMAIL: -31.-.1k4,01,A x j�r -� I vt7 CONTRACTOR LIC.#(REQUIRED): ( :rf '3 9'f i k CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER pi CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: )1•L^_{ �_" _ G 1,--0 -7 ri1 ifVy/ CONTACT EMAIL: -IL;vkY-Lt CrS Haut ti+zJ-�"L•, AGREEMENT:I hereby certify that 1 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 4,7 E '10'3 0 Lc 3 Ow,r/Authorized Ag t Signature Date (Revised 9/23/2016)