3710 BROADWAY IHOP 2018-09-06 - Laserfiche WebLink

4TETT C CTRICAL PERMIT APPLIWATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 311 0 ?f 0ttliv..) BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED[ r' tith ElSFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: $I�COMMERCIAL USE OF BUILDING: S- ctJ? VA f‘k ,/\(�/�.L ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ t G o. DL) NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: l IrN t It 6 Ai. VrV .k-kCp S 1e/✓1 i c t -pia (Al' CONTACT INFORMATION OWNER NAME: 1 10 P''o ct.aL4)' LL-L. TENANT NAME(If Commercial): T-4-0(') OWNER MAILING ADDRESS: STREET 5-1419 i t'h AV J L S� CITY )'IU i re y i STATE A- ZIP e?, 1(/V(:/ OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 7 CONTRACTOR ADDRESS: STREET AWS 1410/ S CITY I�U��,t.�1 1^y �.(,I;N. STATE Y\ ZIP 853-1- CONTRACTOR PHONE: L&) - (3 d- ) CONTRACTOR EMAIL:Sk C&c. t1t t. M -el�a., U..)011 CONTRACTOR ;C iiv- CONTRACTOR LIC.#(REQUIRED):L4.��E 5Y.A 5Y. 32.Li23 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTACT: 0 OWNER atONTRACTOR ❑OTHER(Please Specify) CONTACT1)NAME: / I ' sr CONTACT CONTACT PHONE: 3( , :.�2,9 - Sts[6(nir I t ttrvi6((/A ( st CONTACT EMAIL: StrctiA. iCeI�6Littsiqv) L� AGREEMENT:I hereby certify that 1 have mad 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 1 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 P� ' L PERMIT# EVOOLVid6 Owner/Authorized Agent Signature Date (Revised 9/23/2016)