2801 WETMORE AVE FUNKO 2019-05-22

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 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 2 g Q ( /9 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: Pc,. F-re, C7 • f'iew• ELECTRICAL APPL ATION INFORMATION CONTRACT PRICE OF WORK'$ / 0c-0 `) Q- NUMBER OF DEVICES(if low v Cage):' /a FIRE ALARM? 0 YES NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK:1 'Pr'9 J' 4- c J�e yn cv-- 3 Q fr, cP ezo it 9-9 C f� �h (o f+cct I`�cr Pi'.) U1^e JLQ Com f t` r f GJ yJ_o file, CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: /4 t4S' e-c tf I'1'C. /h c CONTRACTOR ADDRESS: STREET 2 9 3 Q a a / ,.'-e S CITY Int (' ( STATE tAl 1/1- ZIP CONTRACTOR PHONE: 213 3 C1 7 Q?? g CONTRACTOR EMAIL: /4 r-+D 121 (.( S ( q CONTRACTOR LIC.#(REQUIRED): ! Vey E i 'k g 113 a CITY OF EVERETT BUSINESS LIC.#(REQUIRED: 4.3"1 PRIMARY CONTACT: ❑OWNER 92/CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT CONTACT PHONE: 21'3 3 'l 07 S • 1419g1 /gt({$ U l 37-14K S CONTACT EMAIL: i4 � c �? C moi , 6 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 I am authorized by the owner of this properly to perform the work 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 FEE PERMIT# 4 r 127/ E — 12_2 Owner/Authorized Agent Signature Date (Revised 10/12/2015)