1122 75TH ST SW SNO CO PUD 2021-08-30

4ETT ELECTRICAL 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 SITEIINFORMATION„ PROJECT ADDRESS: 1/21 757% 5f 5 LA) BUILDING AREA(if residential,new construction,remodel,or addition) Re h.()d4\ SF BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: IriS)1Y)Pn SS ( P!/I.1P!" ;: ;; EI.ECTRICgL A,PPLICATION INFQRMA'�'ION CONTRACT PRICE OF WORK:$ vZ� 00 0 NUMBER OF DEVICES(if low voltage): pZ FIRE ALARM? ❑YES „(NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OFWORK: Remove 42KiS-in .cl,cPP9a+-' 6pared-orc 4- Ens4t� a e�c1, .iwJ 14ySPriArI�y Slap 3ack opt- -(-ors a-1y`"2 Iocr -hoY1c. t?t41.l lbw wI+jQ. Cr3YX4ro( L reS -i-4rmir A--e -h ga*e o ff ra.-6.rc . CONTACT INFORMATION OWNER NAME: Sri()r101vi IS/J (avtY15 PO /VD 1 TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET TO 2o')( (U7 CITY r U }( STATE 1AJ A- ZIP /<f Z o Gi OWNER PHONE: 426--74)-3- /i 2O OWNER EMAIL: CONTRACTOR NAME: 'PP rlrrn 2 P t See i f r i�y Ay-00 CONTRACTOR ADDRESS: STREET -7+ &a ` C�0n -kV 1 ry C tr IA) �7 CITY "Da .f Ort &a�"GC J/J�C. 1 STATE LD ZIP cf3a /� CONTRACTOR PHONE: 208- 772- /700 CONTRACTOR EMAIL: e Ih� per;rn of e/r aC CONTRACTOR LIC.#(REQUIRED): PfJ�JM SG 81)71-ff CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: ❑OWNERCONTRACTOR ❑OTHER(Please Specify) �.■% CONTACT NAME: C I v\fi 5I tl o c CONTACT PHONE: 27 3436-- CONTACT EMAIL: rfln._)-(2 per. rrnP> - 't'Croup,Con AGREEMENT::!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 lam 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# /7 /4/27/0/7X EttB[ t- 001 Owner/Autho ized Agent Signatur= Date/ (Revised 9/23/2016)