2433 W MUKILTEO BLVD 2018-04-05 - Laserfiche WebLink

4677- LECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: zLt ?�� V'■V ka 1 o O!✓n averee.14. �h BUILDING AREA(if residential,new construction, remodel,or addition) Z gob SF BUILDING TYPE: 0 SFR-DETACHED likTFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ [9500 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 'IgNO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: �� ,�� ( � 42.e.ts avati. CONTACT='INFORMATION.. OWNER NAME: ,4c 'g tOe•i2.0 trtoik TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET I"300 rag.ISG I y c ' 4{,. t'vt/ CITY IAN'A` ejtalei� STATE10.104" ZIP el(SO K OWNER PHONE: "3 Gel ir6 'Los" OWNER EMAIL: 'io.104.6 ottowelapi.a. & e_nw,„4„6,44, . CONTRACTOR NAME: , 104: (�, 1 c„, C„ CONTRACTOR ADDRESS: STREET t 16 I. 35" /4'c E CITY `rek.e. 1mm.,r STATE ZIP 41*4fq C CONTRACTOR PHONE: Z.5 y 30t 9 39 -c CONTRACTOR EMAIL: �yL� `"! , q,N,� S 6 • v' CONTRACTOR LIC.#(REQUIRED): \}cure eL.r C� CITY OF EVERETT BUSINESS LIC.#(REQUIRED): CS-5DV/ PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: G ►� CONTACT EMAIL: 44 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 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# IL ! /6 OwzedntSignature (Revised 10/12/2015)