8530 EVERGREEN WAY FRED MEYER 2019-02-05

Jun 28 17 09:37a Bob Jack I 96746777 p.1 Orm ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 J FAX 425-257-8857 I (E)everetteps@everettwa.gov J www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: Y53 O '''1,/ (.AJ BUILDING AREA(if residential, new construction, remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: USE OF BUILDING: � � �S.l�11AMERCIAL r,P� 41 ' ',4, r Q-r,EC I ,1 A� L„__„_ ELE' T- CAL , PPLICATION INFORMATION CONTRACT PRICE OF WORK:$ / NUMBER OF DEVICES (if low voltage): +J , . FIRE ALARM? 0 YES t51cito ASSOCIATED BUILDING PERMIT# ' licable . DESCRIPTION OF WORK: /, / Ci r?11 i14- mA.1.\•-.7 ir s (A) / -20Z4 ) L/p e 6,..• 1 I CONTACT INFORMATION OWNER NAME: 51,4-WI .e TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CRY STATE 57,02-6 S / OWNER PHONE: Y • -.1'VS"-, y0'a IOWNER EMAIL: ZIP CONTRACTOR NAME: /1•'1.• 5.‘ei "14,74 t 9 4 r Kie . CONTRACTOR ADDRESS: SIREFT 1,:- CITY IA RT.-I UEy 2 STATE r v--- ZIP C CONTRACTOR PHONE: . 66 7'..?�"G f, CONTRACTOR EMAIL: r CONTRACTOR LIC.#(REQUlREU): '-- � ,_,---7-7--,„i, h1C� � Al�C1d��'� C'25 ace 9 �(' g _ !CITY OF EVERETT BUSINESS LIC.#(REQUIRE.► ( y'9": PRIMARY CONTACT: D OWNER ❑CONTRACTOR ID OTHER(Please Specify) CONTACT NAME: j _ CONTACT PHONE:3"'"* CONTACT EMAIL: ------ }`rte' �/ A AGREEMENT:I hereby certify that I have read and examined this application and know the same to be t and correct. Allprovisions of laws and o ancestgoverning` of work will be completed whether speared herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of anthes te this type 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 1 comply with the State Contractors Law 78.27 RCw and 29E200 WAC. City of Everett Official Use Only PERMIT## ... 6 i 7 E l (---• ZSG.J Owner/Authors Agent S`Ydtlsre Date �� (Revised 9123/2016)