909 SE EVERETT MALL WAY BAKERY OUTLET 2018-05-14

ELECTRICAL PERMIT APPNCATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everetfinra.gov � www.everetfinra.gov/permits �� �� ` � _`��-�` �� - PRQJECT SITE�INFORMAT[ON ��`� _ � ��`�`� ��x•:�.,..... , .� ,_. „�a, ,��,�,�,:, ._. ., � ,�...��•,��.9�-�... ..,,. � . .�x��-�. _�. ��r�� , :s�..�.� _:.��>k, PROJECT ADDRESS: � C �;(Lt- ►N1l�L� t�-� S C�,� �4M ,� Z D.+ V BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: OMMERCIAL USE OF BUILDWG: � ; ;; . „� ELECTRICAL APPLICATION INFORMATION ; . 4 S, �. < . ., � � „ -: CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low volta e): FIRE ALARM? ❑YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: � � �^ ZD�t D'�� IQ {� a— �L� �I iU /U ' � �L %rv � = CONTACT INFORNIATION =; ' � - OWNER NAME: (`� d l'�.)� TENANT NAME(If Commercial): ��ZQ eJU OWNER MAILING ADDRESS: srReer Z(9CpO (�L, �(,� /L CITY � �c...11 Q( �1N � STATE ZIP�3 E,7`-�� OWNER PHONE: �E�Z,S` L�' S—c3�� OWNER EMAIL: �J � C 6 � NU�P— CONTRACTOR NAME: Q/'!.L � CONTRACTORADDRESS: sTReeT �� -� � /°�A�/L� � � � r / CITY �J }�'N � STATE � ZIP �(A CONTRACTOR PHONE: 2 ' 2� r�Q2 CONTRACTOR EMAIL: R-E= J��DLv�� l N C r 27rST CONTRACTOR LIC.#(REQUIRED): �.�N "f 7 �^ CITY OF EVERETT BUSINESS LIC.#(REQUIRED): �j� '�j� �.,.�. ....._. . �� _.�,.�,..,a� �m .. __. .,�_,.��,...�...._a_ � v�...,._p...��,, ..� �... . .��K...��e.�. . ,.,,._�,. .� �r. � �.,�r,� . ,�_�- PRIMARY CONTACT: ❑OWNER ❑CONTRACTOR OTHER Please S eci �7�K�� CONTACT NAME: CONTACT PHONE: �2 �'Zt3 � � Pir'L✓L:d N /UD� 1�S CONTACT EMAIL: �/jr€ �(�GD Q �{M C�I�" �� AGREEMENT.�I hereby certify that I have read and examined this application and know the same to be true and correct. AII 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 violafe or cancel the provisions of any other state or local law regulating construction or the pertormance of construction. That 1 am authorized by fhe 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# �� 2��7 E � � ' 11� I ner/Authorized Agent Signature Date (Revised 9/23/2016)