6500 EVERGREEN WAY GYRO SHACK 2018-05-29

46/7 ØECTRICAL PERMIT APOICATION 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 1 PROJECT ADDRESS: (pC g,V PrGeI'1 W Qy nitC-I(�I GU�� W>4 992. /J BUILDING AREA(if residential,new construction,remodel,�r addition) 4-` SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL USE OF BUILDING: 6 u i rx. Sf 'vtc 2i sth UrQv* .PLICATION INFORMATION CONTRACT PRICE OF WOR b/ pc!". NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: --tt-- CONTA'C'T INFORMATION OWNER NAME: .Ale)-i-hbr ( OhN�) M CSI(A I-I-y' TENANT NAME(If Commercial): 11r)f_ E'\j Yo SQ& OWNER MAILING ADDRESS: STREET h Tr —I _� C_ V a - 1,03D0 iii iZa\ Wal sk CVO) crrY 1...‘trinitdeedrevtAr e STATE titiA ZAP 2()3 OWNER PHONE: 426° ?AB • Q 50 OWNER EMAIL: pa(rnyiC.-T2 e mSn • a5nel CONTRACTOR NAME: 011 j ��c, C- e er (,r��_vfors LLE. CONTRACTOR ADDRESS: 1 STREET 7.110 M art(, n S+ /� CITY Evere : STATE jJJA ZIP 19203 CONTRACTOR PHONE: 42S.31-1- O I CONTRACTOR EMAIL: Aa`ea O'tprip C CSC-C or(-1 • CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: VI OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:-roily M CklG I-I-y CONTACT PHONE: 425 -2_13 9Jr' 5D CONTACT EMAIL: papa roc,f"2(n -cairn AGREEMENT:I 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 PERMIT# ), - \ _\\� \ .(1(kidk-----‘2-\)51) E Kell-• 1/ -vOwner/Autho zed Agent aturee (Revised 9/23/2016)