10012 1ST DR SE CHASE BANK 2019-05-22

ep_ ELECTRICAL PERMIT Aft=LICATI•N 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 s. __. . . .....,.J , .....• s.'. , �•. . .. . ...... _. ._ .. .. . IPROJECT:;S�TI��INFORM�1�1'IAFI �� .: PROJECT ADDRESS: l (yj )2. 1ST DO,-/v _Se Pvejye.r i 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: • .i. ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ y O. OD NUMBER OF DEVICES(if low voltage):_ A)//9 FIRE ALARM? ❑YES P4.13 ASSOCIATED BUILDING PERMIT#(if applicable): f"� DESCRIPTION OF WORK: AAA)Pi}- ,1/ L,`g6)4+ -- L ---1). //,45- -0,7)-) ` h _ -: 1 • CONTACT INFORMATION:.: ' - - . L- . OWNER NAME: CO f" etrk TENANT/erNAME((If Commercial): e (l��Se OWNER MAILING ADDRESS: STREET JCf 7S /V0 ,� .C2 CITY L CJ v�.. S STATE 0/-4- ZIP y yll2_ OWNER PHONE:(I a) Li''7S/7 --7 o . ,. OWNER EMAIL: ji)i Y9 -. .. . .. CONTRACTOR NAME: 4m/'-r"ii c. d �d t,,5e CONTRACTOR ADDRESS: sTREEr / f&)y / y I 5-)- OC 4 QJt CITY rfioet k' STATE l.!•44ZIP 9SO 7a CONTRACTOR PHONE: (t iL ,-- 9206CONTRACTOR EMAIL: • CONTRACTOR LIC.#(REQUIRED): /Uo %W�I f_9 3_tb CITY OF EVERETT BUSINESS LIC. !#(REQUIRED): Q 4799 PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR µ0 OTHER(Please Specify) �_. _ `� r CONT CT NAME: CONTACT PHONE: S.(26") 2^73_?/ 7 ( CONTACT EMAIL: /N't yyl f t� „ �-if/:SJR . c„,, AGREEMENT:Thereby certify that I Ave 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/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 98.27 RCW and 296.200 WAC City of Everett Official Use Only FEE PERMIT( 7,- / - 7& / 7 E S —009 0 r/Authorized Agent Signature Date (Revised 10/12/2015)