1305 SE EVERETT MALL WAY RED ROBIN 2019-03-14

ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-267-8857 1 (E)evereiteps@evereitwa.gov 1 www.everettwa.govipermits PROJECT SITE INFORMATION oz: ,t)dick vv PROJECT ADDRESS: ;, I I,l 1,4 ‘A:1C-tiA tAdil qozot) 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: COMMERCIAL USE OF BUILDING; 12,,,tt:5. 1-1„1..if,,Ltky,VT- ELECTRICAL APPLICATIOPI-INFORIVIATIOIC CONTRACT PRICE OF WORK: $ 5D:,>,?>7) NUMBER OF DEVICES (if low voltage); FIRE ALARM? 0 YES - NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: L)r) • 'OOR . , . CONTACT INFORMATION OWNER NAME: P40 1‘111A TENANT NAME If Cornmeic;a1; * OWNER MAILING ADDRESS: 5TREET . 05 Y\110.„1 \Pa) EV44Zf2,1k sTATE' hat z„., • er4e) _OWNER PHONE: OWNER EMAIL: , CONTRACTOR NAME: t"))0tYlt CONTRACTOR ADDRESS: STREET 1RD CRY .QA1Ek' STATE toy\ qr,'035 CONTRACTOR PHONEQ,- (DJ 1- CONTRACTOR EMAIL: 110\C CONTRACTOR LIC.#(REQUIRED); rtl<EC-a PTO CITY OF EVERETT BUSINESSLIC.#dft.f.pUiRED): PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) , CONTACT NAME: CONTACT PHONE; 253- 42:3 d Cft CONTACT EMAIL: ViCt)r,,e C(:::}1y1 vcAnk. (6, 60 1 cz.:5 Ott AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct Ali 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 properly to perform the warts 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 PERMIT# 't5191 IC° E erlAuthorized Agent Signature Date (Revised 9125/2018)