3003 W CASINO RD BLDG 40-24 2019-01-25

'111P'/A>67-4 ELECTRICAL PE MIT APPLIC kTION 771- CITY OF EVERETT PERMIT SERVICES ti�►� 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 FAX 425-267-8857 (E) everetteps@everettwa.gov www.everettwa.gov/permits • .&1 vN...O M Q PROJECT ADDRESS: a rtt V4 \o+_.t�c ('c ( : v BUILDING AREA(If residential,new construction,remodel,or additi3 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: goE1146 EV I F T• !:'. - EyL E4Tl.i`•� L':A,p�L:�. ��t'i'�ON~I• V ARN!•"rTRO>�� `.:`r': , .i ,..s u_ .... .. I ....i..--• --..r%✓d.•�Z'Ltx s++--:�c•.-�.i�:u.,..••e...••,.•:-r,-i:eRv...,Rl:n•,..:+L: <va•.•.::�:,... .n..r� �.�.r;�t•r.,..... :::ft::.e.'•i.:::;r.'"t."1�';...,,:_. CONTRACT PRICE OF WORK:$ ( 17) ; a ) NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES J NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: `;, ms''''s . . `? W It WO-701 FPO' 1 ocg Q vitA • • 777 F7-10A . 41- (21).\/ 110 • • ' ' : ... . 'i' GOMTACT INF©R ATrON: •.. . <<. r. .....`• OWNER NAME: TENANT NAME(If Commercial): BCErjtiG OWNER MAILING ADDRESS: smear Po ,2x 3707 Crrr eA TLE STATE 1ilit ZiRg/2iL 2207 OWNER PHONE: OWNER EMAIL: ... • r..r w •.. w —..... 9 ..r • • ../ Li G 1 •.e r • . .. ... .. f .r. • � .. . r .... •.Y r. ... .r• w CONTRACTOR NAME: 4 i e (,9psneue,.r/t 4) CONTRACTOR ADDRESS: STREET Pa $0X ^41, Q �/ /� cm( /nag//4 Z2 STATEVIA 1 ZIP(1524)4 CONTRACTOR PHONE:426-2/4'6144 lCONTRACTOR EMAIL: k*e f. HitinMEA6Pkiwir. Can CONTRACTOR LIC.#`REQUIRED: G�N� C `tO Z CITY OF EVERETT BUSINESS LIC.#(REQUIRED):(Y4O5 ..a••+�•rve�+•��d..:ik�...r -•w•thfluo•yv�-,.o-.•••••e,4 -U.•.r-.. .aw h..n...vf y�••�� s.3••.+•r�wn+.�. +sr+wv.w..+ywr...•....•w.rrw.r vwv.w.vw•,+.+•n..•a,..a+ruu..v.•...+w.••.•..12...+w PRIMARY CONTACT: Cl OWNER RI CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206-736-654-40 DeN N 1 S Cep W CONTACT EMAIL: DENN 18.±,eOL()® kiEw i T. &)1Y1 AGREEMENT T hereby certify that!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 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 comply with the State Contractors Law 18.27 RCW and 298.200 WAC. City of Everett Official Use Only FEE • 1)2-S „mob PERMIT# Owner Au or ed Agen Signature Date (Revised 10/12/2015)