6500 EVERGREEN WAY SPECIAL INTEREST AUTOBODY 2019-01-31

_ECTRICAL PERMIT AF_ICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERE I I, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps©everettwagov1 www.everettwa.gov/permits PROJECT SITE INFORMATION ,„- PROJECT ADDRESS: 6.5--0 e 14/6. BUILDING AREA(if residential, new construction,remodel,or addition) /3, SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: EVCOMMERCIAL USE OF BUILDING: /2 c,-)13:, ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ C.4 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 12410 ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 7 , e , , f')s-t S, r „,-/e .t!" 61UO2- CONTACT INFORMATION OWNER NAME: • TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET /10/ e jj j'i-e ;zo CTI LS---7 STATE OWNER PHONE: :-75.0 - OWNER EMAIL: CONTRACTOR NAME: N 1/4c CONTRACTOR ADDRESS: STREET /3 a d 9 c.ce-.; cm, 5..// slAT t,..) zip 2 41 CONTRACTOR PHONE: CONTRACTOR EMAIL: (.7 A e 661 e_ 7, "'— CONTRACTOR LIC.#(REQUIRED): /re 2. 9t/ /VACITY OF EVERETT BUSINESS LIC.#(REQUIRED): 1-',26y PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR aOTHER(Please Specify) C,fr ir /c-( CONTACT NAME: CONTACT PHONE: s.„, Che/CZ.- CONTACT EMAIL: e e e 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 pemiit 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/ comply with the State Contractors Law la27 ROW and 296.200 WAG. City of Everett Official Use Only FEE (#25,00 PERMIT# E 1102-' wner/Authorized Agent Signature Date ?evised 10/1220'15)