10121 EVERGREEN WAY GYRO HOUSE 2019-02-06

ELECTRICAL PERMIT APPLICATION #1110111wri —A CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits PROJECT SITE INFORMATIION < PROJECT ADDRESS: 1 p 1 ').1 (JPir-,,,tf ev. L&1 y *" I U t)�-, t t.314- / Y o.c✓ BUILDING AREA(if residential,new constructih,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: gisCOMMERCIAL USE OF BUILDING: Cd vowuur-c,1e, ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ '0,(:) NUMBER OF DEVICES(if low voltage): 3 FIRE ALARM? 0 YES '®NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: - .:-. )(2,44-01,I(0,41'0v1 0 e C- l L _1 Gni Y--? CAA c)t. {4.C.e. Njock tz, to a L oCIT> CONTACT INFORMATION OWNER NAME: 20C;C ASSe`f Ad oats TENANT_NAME(If Commercial): 6yY-45 \A 0(.4,k 1- OWNER MAILING ADDRESS: STREET ' ad;-O J 5 3C;(2-"-• 9-- P Sw k 2.1C CITY l}e!Le 0(J STATE L p�A- ZIP q 7 l OWNER PHONE:WA-cob " (4,90a OWNER EMAIL: �p�c vo-c e petadJ iSo.S, (C31n�� -1--- r1) CONTRACTOR NAME: g 6 i7 JI V1 1 "J � CONTRACTOR ADDRESS: STREET + Q�. 1.. �ai L-QI I - E%),6,4 j crry �!V t'II C WIC STATE (...)i ZIP eilO i CONTRACTOR PHONE:4-0-c-33�0 -V Lm ) CONTRACTOR EMAIL: eee{{{ CONTRACTOR LIC.#(REQUIRED): �JQ YS 1 S*619 6 ?a CITY OF EVERETT BUSINESS LIC.#(REQUIRED):SS10C4 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR Al OTHER(Please Specify) CO5( i P�i�E1r CONT NAME: CONTACT PHONE:L(a - -3 3 q)- iSAr lc, o CONTACT EMAIL: �� y0 Sair.-PVer� ;COyN AGREEMENT::I h r by certify that!have read and examined this application and know the same to be tri and correct. All provisions of laws and ordinances governing this type of work will be leted 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 properly 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 ems,.. J PERMIT# Owner/Auth rued Agent gnature Date (Revised 9/23/2016)