3003 W CASINO RD BLDG 40-24 2019-01-11

4.67.7. ELECTRICAL PERMIT frPLICATION 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: 30 U3 Mi .:.G/—`�i n� c 1a b 'I o-241 C.c1Lt r N ..,I— 1 r 6 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: COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ Co NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES Ga NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: geA4.5Sb 1y 4-hr� t i,3S'f p L.1.44-tcvJ U C 7.77 c9 1 e 11301- CONTACT v1-CONTACT INFORMATION OWNER NAME: 80 e.,,' 3 cove O re TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET PQ g e).)e ‘s-70-7 ins 64 1-0 t CITY s C}U�} - (.p6 /e STATE 14)4- ZIP (-- 1 2 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: g.t ec r-(t) 1 net p }c CONTRACTOR ADDRESS: STREET ///3 Che./urdlok)i`� gej4.c.t gb /� �y� �y t� C CITY !'v`(J 1C( 1 1- O STATE P 4 t ZIP -`'CJ 2 ( 5 CONTRACTOR PHONE: 2...662.--353— L//g( CONTRACTOR EMAIL: .J7¢-S0riS2J c/- c�c. -p, �� COyrt CONTRACTOR LIC.#(REQUIRED): Z,e TIF O$5 KYR CITY.OF EVERETT BUSINESS LIC.#(REQUIRED):05588 PRIMARY CONTACT: 0 OWNER "Ti CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 2,0 Co SS 3 - qo a(c ,- y\I 3/o - v.2- CONTACT EMAIL: U71-5c 5 Q L1ee4a Mlo - Covv 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 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 FEE PERMIT# Aff`— �3 —c � E Own Authorized Agent Signature Date (Revised 10/12/2015)