1920 MERRILL CREEK PKY 2019-02-11

ELECTRICAL PERMIT A! [CATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT,WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@evereftwa.gov www.everettwa.gov/permits PROJECT ADDRESS: /?Z.D 04;e4-n- ere.,fr PQ r'tk BUILDING AREA(if residential,new construction,remodel, or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX ❑ MULTI-FAMILY-#OF UNITS: (in COMMERCIAL jUSE OF BUILDING: 0;E69400AIL A01154.40116-0 l. FOR '.4i1101.4 . CONTRACT PRICE OF WORK:$ �Q�L�'� NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES INO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: .Z[�L S 1 I 2•6-V-/9- 6203 7-0V1*- I 2.4'2Q7 L : ' : ON A T INFORMATION. OWNER NAME: TENANT NAME(If Commercial): 5 ySer OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: . CONTRACTOR NAME: 671.- _ ) C CONTRACTOR ADDRESS: STREET /?j 2-C3/3•*'-2Q CITY/C'� STATE („�r1,.. ZIP !T2-✓ 2 CONTRACTOR PHONE: 4(2-7-3g-73 2.7 CONTRACTOR EMAIL: C.417m._(j G .€ 110-644.1I< CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): Y 3Y4:// PRIMARY CONTACT: 1 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: 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 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 lam authorized by the owner of this property to perform the work for which application is made and l comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE eo PERMIT# /l./7/7 E 1 / 11-- i7/1 Ter/Authorized Agent Sig ature Date (Revised 10/12/20/5)