10217 19TH AVE SE CHASE BANK 2018-02-27

_ .,..._ . iLECTITC A L PE MT A LICATI CO N .,/, ---- „,--,4 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.govj www.everettwa.govipermits • :..',- - P014:001'*11t0:01040.10.110N.:::- , - .1...- -: :..:. PROJECT ADDRESS: 02)7 If VI 4ue.--- S -- -----o_-_--ze-----17 ,.-.) / BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: D SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 4OMMERCIAL USE OF BUILDING: ' ' . ' . •ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ ')( t-kb 6 . (9-6 NUMBER OF DEVICES(if low voltage): /0/72 FIRE ALARM? 0 YES )Ei:NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: A_A 0- 4,447 jt' . b4)SiDe— ,7”- , : 1.,. -. _ , : .:._ . . : PQNTAPT.INFPRRIATION::. : _ , OWNER NAME: CUTIni171" TENANT NAME(If Commercial): ('Ao.s4 OWNER MAILING ADDRESS: STREET /I 7s- err( E Ce/ 44° STATE b/) ZIP ijti i) 2 OWNER PHONE: )IA k iLIA.T-1--- IOVVNER EMAIL:0 2.3) L--isto -7 0 9'0 CONTRACTOR NAME: /00_4 U....e‹,,/ _.-:---zibsa-1 CONTRACTOR ADDRESS: STREET /?0e)LI iti/ s - I('(Au ,&)4;- CITY (./11-)0C.)•Q/tel 0.1 k STATE (A.-. 5 ' S.0, ?2 CONTRACTOR PHONE:0424 5_26, — 9 zod CONTRACTOR EMAIL: Za,-, be fu.) ,A or, CONTRACTOR LIC.CREQUIRED): A)01_411-4-7 fejez CITY OF EVERETT BUSINESS LIC.MREQUIRED): 65(.5 Gq __, PRIMARY CONTACT: 0 OWNER IgttONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (iti2,‘-) 27?- 7/71 19-aa,-.1 CONTACT EMAIL: AL, .5e 446)&6/Aim . ev...n AGREEMENT:Thereby certW that have read and examined this application and know the same to be true and coire 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 FEE PERMIT# T-/—zoo E r -6S - 0 C 0 . •uthorized Agent Signature Date (Revised 10/12/2015)