11108 EVERGREEN WAY FATOU BEAUTY SALON 2019-02-06

EECTRICAL PERMIT APP ICA 1 TON ^►' , - 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 www.everettwa.gov/permits PROJECT SITE INFORMATION, PROJECT ADDRESS: 7,yee BUILDING AREA(if residential,new construction,ret4del,or addition)" _SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 1W OMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ /00 NUMBER OF DEVICES(if low voltaje): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: .-l-'' <--f It c�Ai 1.e r 13011 oriel v ' CONTACT INFORMATION OWNER NAME: 0-caN?Ft1^.1. P,e,,.I.i-x TENANT NAME(If Commercial): . dirt/5 OWNER MAILING ADDRESS: STREET I66�Z WLy 9/1 cm L- 'l�►1'►f.arae. STATE IAf4 ZIP y,963y OWNER PHONE: ZO a- 9S/� ! 77L� !OWNER EMAIL: 4,%-9R"e�cJ emp•c i S gyv+ei-), r em,i CONTRACTOR NAME: p / CONTRACTOR ADDRESS: STREET /9 ye.,6 I.4wy '/ A orrY LyN)''f / STATE t) aP 9G� 7` f CONTRACTOR PHONE: 42-c-27?—®GC (CONTRACTOR EMAIL: (Q cv c C OA." CONTRACTOR LIC.#(REQUIRED): 5FPIC 4(7)..., CITY OF EVERETT B SIN SS UC.#(REQUIRED): t9t?92 b PRIMARY CONTACT: 0 OWNER 11 ONTRAOR OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4,-Z7.' _®.7 :� f 4 4 CONTACT EMAIL: ( °_�� S, r� AGREEMENT:!hereby certify that have read and examined this application and know the same t5 be true and correct. All prov!ns of laWI 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 l am authorized by the owner of this property to perform the work for which application is made and t comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# -- -16 E Ow ignature Date (Revised 9/23/2016)