1402 SE EVERETT MALL WAY SKINNY Ds YOGURT 2018-01-18

� 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 INFORMATION PROJECT ADDRESS: I LJQ� SC (!UC�-.�� r� ��LL LL' ST� I �� v 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: $ " �- • NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES �NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: � �C� 2 Z V 'Z�� i� G�c�C.C/�` ' C2�T�2;''C C�� i��CZt I�r — Q c6''�' 7 pu-_f-�•� 1 2�-� U � CONTACT INFORMATION OWNER NAME: � �JL� TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTReeT CIN STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: e� � �Z (�LCy C % /tY� /�C- y�(��/n l/k /IUG CONTRACTOR ADDRESS: sTREEr � Z'7 �J S� J(v f SZ� CITY I.JC..: L(,'�V(.( '- STATE L'L�!T ZIP C ��,��_ CONTRACTOR PHONE: �j L5 2�,3 313 CONTRACTOR EMAIL: (�O ��yl �' �%Z '1 ,CP,'1 � ` O CONTRACTOR LIC.#(REQUIRED): �G�L(.�-(.�� IS�j l�ie CITY OF EVERETT BUSINESS LIC.#( QUIRE _ _ _ __ _ _ __ ___ _ _ __ _ _ _ PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR ❑OTHER(Please 5pecify) CONTACT NAME: CONTACT PHONE: /�•2 j Z � �� 3 � � � �C�Z%I�I �(QZa'1�C� 11/f(�I CONTACT EMAIL: AGREEMENT. T hereby certify fhat I have read and examined this applrcation and know the same to be true and correcf. Al!provisions of/aws 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 otirer state or /ocal law regulating construction or the pertormance of construction. Tirat!am authorized by fhe owner of this property to pertorm 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 FEE � J� .� O PERMIT# ��f �o iz��z�� E � c�c o -- �� — ner/Authorized A ent Signature Date (Revised 10/12/2015)