7616 E CASINO RD 2019-01-25 - Laserfiche WebLink

ELECTRICAL 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 1O1 1 • , t40,4 PROJECT ADDRESS:1IQI ,a„o ;; 0 tile) 4Z21. BUILDING AREA(if residential,new=constructton,remodel,or addillon) SF BUILDING TYPE:XSFR-DETACHED.. 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS; 0 COMMERCIAL ,USE OF BUILDING: r CONTRACT PRICE OF WORK: $ SCD NUMBER OF DEVICES:(If low voltage): FIRE ALARM? 0 YES ► O ASSOCIATED BUILDING PERMIT# if a.a lcable: dES i1PttflF.1CtRt : / r' a._ ''g° , Al,gry e --1,-,..;,,,!it.;-,r-4' . ' - re.y<1 pri F xu?s3 .aL b '��,�. OWNER NAME: _ _ a f � � TENANT NAME(IfGomotercilisgt OWNER MAILING ADDRESS: STREET itt,to 1 a" ' 4 o _ r _ 19, _. ZIP i4A COY STATE `i..:. ,. STATE ,. OWNER PHONE: 3 � " .. ., III 5T-4-- +1J ER EMAIL: CONTRACTOR NAME: Yt tj _. CONTRACTOR ADDRESS: STREET tvan STATE CONTt' 4cT0 t PHONE: ss .6 CONTRACTOR EMAIL, im' l'T a- t' `EQ iq err rtar o CITY OF EVERETT BUSINESS LIG,*REQUiR D: ti.a .. .._... PRIMARY CONTACT: 0 OWNER ift,CONTRACTOR 0 OTHER(Please Specify)m CONTACT NAME: CONTACT PHONE €k2 O e CONTACT<EMAIL m AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws end 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 stele 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 I comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# pe,i))21,.., , ,eutti„, ? Glwrter�Authprlr pd Ag n�tgnature .4 b E , Z 2 Dale _ _ "(Revised 9/23/2016)