3003 W CASINO RD BLDG 40-22 2018-09-21

ELECTRICAL PERMIT APDL ATIOlq 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 PRO.DEY SITE AnIlF01FtMAA'>TI®M y: _ . :.. PROJECT ADDRESS: 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: OETI�G EVEILGTT� - ELECTRICAL A�'PLGCA'B'IOId Il(dFOYZMATAON �'' CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES XI NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: �f0 COM7'ACT-INFORIVIATION. OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREEr PjOX 3 MY Ll= sTATE V✓� 71051221—2207 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: / CONTRACTOR ADDRESS: STREET PQ Box CITY O 1L _0 SrITEIAA ZIP CONTRACTOR PHONE:426-20-&144 CONTRACTOREMAIL: AAA/ . A?Ele / l7. 6014 CONTRACTOR LIC.#(REQUIRED): G/✓/V��C �D Z CITY OF EVERETT BUSINESS LIC.#(REQUIRED):OLIO PRIMARY CONTACT: ❑OWNER ®CONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: a Q CONTACTPHONE: CONTACT EMAIL: D� /��S.L'Kell K�Fw'IT. 4-014 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 hereln ornot. The granting of 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 1 am authorized by the owner of this property to perform the work for which application Is made and/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE PERMIT# E � �- Owner Au onzedAgen Signature Date (Revised l0/1 2 12 0 1 5)