9129 EVERGREEN WAY GMA MOTORS 2018-10-29

� � �LECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits PROJECT SITE IN�ORMATION PROJECT ADDRESS: q �Z �V L�/'� BUILDING AREA(if residential,new construct n,remodel,or addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: �. ,� .e ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ U 3 �- ( NUMBER OF DEVICES (if lo' voltage): ►Z FIRE ALARM? S ❑ NO ASSOCIATED BUILDING PERMIT# if ap licable): DESCRIPTION OF WORK: ' h�� 4'1 r ' � CONTACT 1�11FOQtMAT10�+1 OWNER NAME: � TENANT NAME(If Commercial): � OWNER MAILING ADDRESS: srReer '1 � �,V crrv � / r L srare 14 zi? 1 G OWNER PHONE: �'�' �{ -(-(N 3—�3 � OWNER EMAIL: CONTRACTOR NAME: G �s N(;IZ C� M ' CONTRACTOR ADDRESS: sTReEr Q � }� V� V./ L Cm' � �/✓ STATE ZIP � V O p � CONTRACTOR PHONE: �"I — S'Z� CONTRACTOR EMAIL: � � ��.0 � � CONTRACTOR LIC.#(REQUIRED): f /i( �M C CITY OF EVERETT BUSWESS LIC.#(REQUIRED)� PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR ❑OTHER(Please Specify) CONTACT N�ME. CONTACT PHONE: CONTACT EMl�uL: AGREEMENT:1 hereby certify that 1 have read and examined this application and know fhe same to be true and conect. All provisions of laws and ordinances goveming this type of work will be completed whether spec�ed 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 fhe pertormance of construction. That I am authonzed by the owner of this property to perform fhe work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. - - i'� Z� -� � � City of Everett O�cia/Use Only ._ j /` � / � � ,�� / � PERMIT# � ( ` �� .L�r � V � Owner/Authorized Agent Signature Date (Revised 9/23/2016)