1910 MERRILL CREEK PKY LMI AEROSPACE 2018-07-18

"PP- OECTRICAL PERMIT AFICATION 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 PROJECT ADDRESS: / (/C N,e,(7// kt/ity BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: rCOMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ /�� NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES FNO ASSOCIATED BUILDING PERMIT#(if applicable): X/G/ /_- DESCRIPTION OF WORK: fid 3� Ef tO rU fr 19 i ( j�'t ,"5f 0/e CONTACT INFORMATION /� /ter� OWNER NAME: TENANT NAME(If Commercial): / t r OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER// EMAIL: ` CONTRACTOR NAME: 54 O,E/fly - %i�ll��fj�/s�/ F/,t CONTRACTOR ADDRESS: /1609— 6 0 Z.M Sf iJ"P/ �CITY ✓ • x/�/ � STATE qe ZIP CONTRACTOR PHONE:ra Z 57-2fr -- 5-49- CONTRACTOR EMAIL: /$4/f P CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTAC :. NER ❑CONTRACTOR 0 OTHER(Please Specify) -______ CONTACT PHONE: Ll z 2.. `j y-42- CONTACT NAM f�G�'��d0 � \ f 3� • �;` v ONTACT EMAIL: AA�� AGREEMENT'I hereby certify that I have -.. •• - + -> s 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# E 0(0 Owner/A orized Agent Signature Date (Revised 9/23/2016)