7601 EVERGREEN WAY US BANK 2019-02-05

!LECTRCAL PERMIT All'ILIC ATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 j (E) everetteps@everettwa.gov j www.everettwa.gov/permits .. :- P)�a��'��5�� 9i��i'��1:�`�'C® .: - PROJECT ADDRESS: 76 0 I r iie .y re_e t4- 2 - BUILDING AREA(if residential,new construction,remodel,or addition) SF • BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX El MULTI-FAMILY-#OF UNITS: gCOMMERCIAL USE OF BUILDING: EL4CTR>1!CAL APPLOCA`TI®N INFQRnwriQN j CONTRACT PRICE OF WORK:$ o� zo NUMBER OF DEVICES(if low voltage): Q 7 (1E FIRE ALARM? 0 YES INO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: I1,/<-71-19/( >( fz-/ait- Z El) 5 • . . ....:..::OAI.. CT INFORMAJdN..:.: OWNER NAME: us La N/t TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET -740 / 6v.fG,� (,v /4 Lr CITY �� STATE ‘1_,./a_- ZIP 98 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: N 60A. -5' NC` CONTRACTOR ADDRESS: STREET f 7 2 r! l y3 PC Leis W "7 CITY ILT f! Cr� STATE 4-126:- {�� ZIP 1'8657 CONTRACTOR PHONE: /j O/-61-140 CONTRACTOR EMAIL: 'H e vi-t_ ��f 1 e(S5 ,: t ;]G(�10. c -- CONTRACTOR LIC;#(REQUIRED): e()' 32-- . D g6 P( CITY OF EVERETT BUSINESS LIC.#(REQUIRED): D 2 2 _s. PRIMARY CONTACT: 0 OWNER FLCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME:� CONTACT PHONE: 471 Z�— 370/-- 474( 7 J 0 t< coe- CONTACT EMAIL: til e0-).1 Lv C_I-56 p_---r- till, CbY4--. AGREEMENT:T hereby certify that 1 have read and examined this application and know the same to be true and correcL 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/ comply with the State Contractors Law 18.27 RCW and 296.200 WAC. _ City of Everett Official Use Only FEE PERMIT# Owner/Author! ed AgentSignature Date (Revised 10/12/2015)