111 SE EVERETT MALL WAY SUNRISE DENTAL 2019-10-02

OTIETT ElECTRICAL PERMIT APICATION 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: 11 1 5Z e4 MWW W / i tA:244 BUILDING AREA(if residential,new construction, remodel,or addition) t}C�GC) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: Er COMMERCIAL USE OF BUILDING: }Apt Z.S4L01.� ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 'I NO ASSOCIATED BUILDING PERMIT#(if applicable): $i-70e1 cas DESCRIPTION OF WORK: 11srocc i254 5� "raft 4k irD 160 s`. ,i/& G fge.411'- G t.eV �jc(Sf t •�.<�t�• Li&ur'tNCa Tb b i .Ci Vvt LF-Z2 CONTACT INFORMATION OWNER NAME: '{rk TENANT NAME(If Commercial): ,W\ti-rV.kr,(L. I f.J OWNER MAILING ADDRESS: STREET 94 l5 11 CITY SteNt4.4". STATE WA ZIP OWNER PHONE: 41t050 501 - 9264' OWNER EMAIL: -S v1o•ti - G1 G,1,44 t CONTRACTOR NAME: 't ij . . *-004,4)&e- CONTRACTOR ADDRESS: STREET COt ,ot2- ,tCrt- f"11 c' CITY. STATE Yv734 ZIP & Z-1 CONTRACTOR PHONE: 4 •Z.7-0- ' rj CONTRACTOR EMAIL: F'r•SAler-er.4L 4eie.C.GA/' CONTRACTOR LIC.#(REQUIRED):gL ,•CGQ 04 IN 13 CITY OF EVERETT BUSINESS LIC.#(REQUIRED)5E)3 1 0 PRIMARY CONTACT: ❑OWNER ('CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: • Z'2.0-5040 CONTACT EMAIL:_..3f. A , GG3,4 AGREEMENT:1 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 PERMIT# _ � . E \ b�_ 0 Owner/Authorized gent Signa e oat: (Revised 9/23/2016)