3003 W CASINO RD BLDG 40-87 2018-09-19

LECT ICAL PERMIT APPLICATION 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: ,106> W. t , I AD 4, L ULycI i , WA 1 gkl"/ ioilAil• u 1-10-2,17, i BUILDING AREA(if residential,new construction,remodel, or addition) Nol 004 SF NE £1/0.1\ c( F. -1- 18 BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 01COMMERCIAL USE OF BUILDING: Y LI Ce ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 10 i MO i O® NUMBER OF DEVICES(if low voltage):, _b t FIRE ALARM? 0 YES gNO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 60., cAble con 5f-Y u c t i o 1, 0,(f4.5 :4 k CAI-- S dick Cable CONTACT INFORMATION OWNER NAME: Q'e 1 tr\f� TENANT NAME(If Commercial): J I 1 OWNER MAILING ADDRESS: STREET s O()') �,. g I fib R.A. g (� CITY if tiW eve STATE it zip 9g�.0 OWNER PHONE: OWNER EMAIL: CONTRACTOR YNAME: NCitC©v11 I yC/ ,. CONTRACTOR ADDRESS: STREET 1G 3). 1-1-e_61 I o tn(1 [)1r //_ CITY 1 €-AfOh STATE t40 zip 6 36).6 CONTRACTOR PHONE: IOC,-3A 4 0 7/1 CONTRACTOR EMAIL: , )r, yj (,j W1 s 1-1 .&a H1 CONTRACTOR LIC.#(REQUIRED): NE rc,p IX g''l 7 i Nit) CITY OF EVERETT BUSINESS LIC.NREQUIRED): 055 Ja 4 PRIMARY CONTACT: 0 OWNER .CONTRACTOR 0 OTHER(Please Specify) pp C) .hrr CONTACT NAME: CONTACT PHONE: a,(''b-3 gy - J i _ -S evre my- Ly h r CONTACT EMAIL: 'i )vn Ar) n e-�-Low s f 1 , 60 yyl AGREEMENT.-T hereby certify that I have read and examined this application and know the same to a frue 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 l am authorized by the owner of this properly 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 tLc(0 - SO PERMIT# l ) g E \ SO - OS5 ....,_ Owner/Aut orized Agentnature Date (Revised 10/12/2015)