3105 PINE ST HOLIDAY INN 2019-04-29

000110. ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE IN ORMA,TIORI PROJECT ADDRESS: I O 5 P-1 rye. S y-�'lvrL 44 BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: 0 SFRDETACHED 0 SFRATTACHED ❑ DUPLEX 0 MULTI FAMILY #OF UNITS: MMERCIAL USE OF BUILDING: Arr, ,1 �� ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ f ! sC_ c'ZZ NUMBER OF DEVICES(if low voltage):, ;2,_ FIRE ALARM? 0 YES 4NO ASSOCIATED BUILDING PERMIT#(if applicable): /] / DESCRIPTION OF WORK: 1- 1-,,,.�,�`,,_ L6,,p 1 j- i„i4 /€ 4 Li-e figu�r Co n-J-r,f( i.-L y 4 41i d.e €7,0,04.e. e,puG, •: CONTACT INFORMATION. OWNER NAME: /14 or-i-e p,(-- Yo.1-e( TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET —3 ( Q f7✓t e 5--1ce-- - � �y CITY C-j40','/'44 STATE 1n._5 a� G1 ZIP g-!-�6' OWNER PHONE: tl'Z j I 2.d © OWNER EMAIL: CONTRACTOR NAME: AL/427 w'h.yfL pC,a s--- AAA, 4h-k k36- are r CONTRACTOR ADDRESS: STREET t i N J / 174t1-1 t Iv 6 ` /� CITY -.'t�5 V/n.� STATE 6 W / nZIP 46/Z 7( CONTRACTOR PHONE: (16-7. ' 1 t 5-6' _CONTRACTOR EMAIL: tit's,-/l S) �t3-I4)4PDrez,„4. l Gift:c,asp-L CONTRACTOR LIC.#(REQUIRED): A (,1- ' , i'-Q L-s- 115- L It CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 0141 /216 _ u PRIMARYCONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: / CONTACT PHONE: ''3 1 -- C --.3 4634 J . Gy/ v, CONTACT EMAIL: �B6r1 k �r �t,D/' G ,,_---A- _ L n. AGREEMENT:The by certify the l 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 I 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 18.27 RCW and 296.200 WAG. City of Everett Official Use Only FEE 4 D PERMIT# -.-' i-------..il;-:; 4 G147/7 "7 E Vtl 09- 014b Owner/Authorized Agent S 'nature Date (Revised 10/12/2015)