2531 WETMORE AVE THE SHIELDS LAW FIRM 2022-03-23

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 1 FAX 425 257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits P)EtOJECT SITE INFORATIOt1'' PROJECT ADDRESS: �r- 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: /— <1 '4—; G _. _. ELECTRICAL, APPLICATI®N I400111MATIOM CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑ YES ❑ NO ASSOCIATED BUILDING PERMIT # (if applicable): DESCRIPTION OF WORK: � 1 e /h ,.._ .L r i '_. i�� f r` I CONTACT, INFORMATION „ ff OWNER NAME:Jena n Alar&N S TENANT NAME (If Commercial): n 6 OWNER MAILING ADDRESS: STREET p2 s CITY �e C� �j STATE !� ZIP { O OWNER PHONE: pZ j 8 OWNER EMAIL: CONTRACTOR NAME: /'G C� A i� C., ry- C, !�/ p CONTRACTOR ADDRESS: STREET/Z OZ [ 41, , CITY l - c c ��.ri1ww�'1 G STATE '(tea• ZIP CONTRACTOR PHONE: v & Z'J' N e=, CONTRACTOR EMAIL: �Cr�fgAR J he-g (V— Gfv� l CONTRACTOR LIC. #(REQUIRED): A Q%-) A L, C-& I B6t CITY OF EVERETT BUSINESS LIC. #(REQUIRED): PRIMARY CONTACT: ❑ OWNER CONTRACTOR ❑ OTHER (Please Specify) CT NAME: +Ge CONTACT PHONE: O& -7q G CONTACT EMAIL: AA i IA 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 ord&nces 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 kt 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/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 4 6D I t�� PERMIT # E �t OCR - tV j Agent Signature Date (Revised 1011212015)