120 SE EVERETT MALL WAY 2020-02-04

� �� 77 -ELECTRICAL PERM LOCATION F " .tet- rr _ ,_ CITY OF EVERETT PERMIT SERVICES �—`" 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 ) (E) everetteps@everettwa_gov I wwvv.everettwa.gov/permits P, OJE-CT:SITE 1.10.0. it *. :(: y .. PROJECT ADDRESS: 1 Z 0 Se BUILDING AREA C -sidenti. ,ew constro remodel,or addition) 4'4/ X 2_SF BUILDING TYPE: SFR DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: IJ COMMERCIAL -USE OF BUILDING: Se t b{al A-A--'‘-- ' " \ Fs r q CONTRACT PRICE OF WORK:$ t ....... .0- ` 0©(,'c NUMBER OF DEVICES(if low voltad- FIRE ALARM? ❑YES \ lir O ,< ASSOCIATED BUILDING PERMIT#(if applicable): e 1(4) ) 0 " O t t DESCRIPTION OF WORK: 19•,1 S ___ 1.0®/),,_ ` of L-c 1-40 - . .- t.r (L:1LT)4 Si5.2.t....,1 cp / :'\.° ids- (ID 2-w . P-4/....-et._ • .S,,,v2 Awl N SLia Pit I2 w i vi_ L STI'-L --fig z _ 0 C I,CA- Auv, (6) 0,--p-E-77-5 ---''.:-.,-- •,--:.:-'-:::':* ... _.,- .. ::0ON7`,�4.02940004'1010Ii- • ._ - - - OWNER NAME: /2 6 5 x v geo G'I.`t,ve--/-Le-(-6-TENANT NAME(If Commercial): r---;VL---TO---;VL---TOt'J: ILO- CSSM __. OWNER MAILING ADDRESS: STREET I Z 0 ,le- el- L�rL VV 0.,46L L'L.9-L CITY /L' -r t STATE (.1‘44- ZIP CP OWNER PHONE: V OWNER EMAIL: CONTRACTOR NAME: 5C -yl/' V1t-(L •li'C�-t)7Z2L. I Aie.._ _ 1 CONTRACTOR ADDRESS: STREET S p.„ V [)j I "-T 'T ' CITY 1 S"' . 44 STATE v �^ ZIP 9 Z 7 CONTRACTOR PHONE:(_Z&,) 71t��(oc Q"---( CONTRACTOR EMAIL: ki- r ,.0 i" �t I 1 C✓ '6 "N CONTRACTOR LIC.#(REQUIRED): C_,2f l„3_E I 9'�,� L\J CITY OF EVERETT BUSINESS LIC.#(REQU1P D): 637 3,C0_, PRIMARY CONTACT:w C1 OWNER �. NTRACTOR yN❑OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: (._Z Ci ) -/ rte', -0, 9 c)<-----( ActLic„-.3 .tt CONTACT EMAIL: At_LE,N W t i t e & IAA 4-1-z--t...---‘ 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!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 WAG City of Everett Official Use Only FEE . N 0 , )` a.444"_ _ ` i PERMIT# - 747////) E ( 96-q_, c, ( Owner/Authorized Agent Signature Date (Revised 10/12./2016)