4027 RUCKER AVE BOOST MOBILE 2019-04-17

ELECTRICAL PERMIT A LICA`�I®Id 14►',40iCITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SATE INFORMATION': PROJECT ADDRESS: L(-c 2.- Il_asy A1/-J2-- BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: ,I ,COMMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ .3 p 4 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES )10 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: C-51/ h P v`- Gj Trin LAilf..e. --FF .p x./1-44--t 5 `r G%rcA-A t CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): 8 , 7L (4k-to_ OWNER MAILING ADDRESS: STREET if°2--7 I`l'l/' e'v *L _ _. CrrY f y� - Y„€, STATE 00A. ZIP 5,)-0I1 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: 1/0 1/17-4-e_ 4 -5-Y>5 CONTRACTOR ADDRESS: STREET /OH( C/ 1 j CITY t-r h UO J-3 STATE [1.1 Pr" ZIP feCk2Q`, CONTRACTOR PHONE: et2-4'_7(f5-- o76,,o CONTRACTOR EMAIL: IA)1,,1,g.50.T 0 Eva, 1-01-4-\., CONTRACTOR LIC.#(REQUIRED): W II T ..- 1 273 D p CITY OF EVERETT BUSINESS LIC.#(REQUIRED): © j' PRIMARY CONTACT: 0 OWNER OCONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: @ -no---2-7 CONTACT EMAIL: (")kcr/ 5 is.vi 0,77 a5-44._aa.P., L-jW' AGREEMENT:T hereby ce 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 t am authorized by the owner of this property to perform the work for which application is made and I comply with the State Contractors Law 16.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE 6. PERMIT# Owner/Authorized Agent Signature Date (Revised 10/12/2015)