5313 EVERGREEN WAY DEPT OF LICENSING 2019-08-29

P OPECTRICAL PERMIT API!ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwagov I www.everettwagovlpermlts. ‘ '." 4 ti � i - - ' z ' - a'c a�« '.0''''' N s +'?2`r� 1� u . t , ,,,, "' ., Lamaa ' p ,t ' f • -• ik a PROJECT ADDRESS: 5313 Evergreen Way Everett, WA 98203 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: CI SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ®COMMERCIAL USE OF BUILDING: Everett Business Licensing Services Office ' z6 �ts ,; ...: �� 3., '.., ,; � ;''N : 101,,, .. .,..� '. W CONTRACT PRICE OF WORK:$ Time 8,Material f l L- NUMBER OF DEVICES(if low voltage): FIRE ALARM? 'OYES IZI NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Install 2 ea. spider cords and 1 ea. 50 amp 00 breaker ?CON ,: MNI W OWNER NAME: TENANT NAME(If Commercial): Everett Licensing Services Office OWNER MAILING ADDRESS: sTRt=>='r 5313 Evergreen Way clTv Everett STATE WA era 98203 OWNER PHONE: (425)356-2966 .OWNER EMAIL: CONTRACTOR NAME: D& K Electric, Inc. CONTRACTOR ADDRESS: STREET PQ Box 2117 WA Ott CITY Lynnwood STATE Zlp 980 6 CONTRACTOR PHONE: (425)742-7654 CONTRACTOR EMAIL: dandkelectric@comcast.net CONTRACTOR:LIC.#(REQUIRED) DKELEK970KK CITY OF EVERErr BUSINESS LIC.#(REQUIRED):40151 PRIMARY CONTACT: C]OWNER 21 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (425)210-3990 Tyler Grigg CONTACT EMAIL:dandkelectric( comcastnet AGREEMENT:!hereby certify that i have reed 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 pe lorm the work for which application is made and I comply with the State Contractors Law 18.27 RCW and 296.200 WAG; City of Everett Official Use Only PERMIT# .4.01. 5/t / I 6 E tX65'- 616 .A., r/Authorized Agent Signature Date (Revised 9/23,2016)