11419 19TH AVE SE BURGEONING STUDIOS LLC 2019-06-11

4E77 ECTRICAL PERMIT APPLICATION CITY 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 SITE INFORMATION PROJECT ADDRESS: // // `I 19 V'c Aye. Sf So :r4. /O ) BUILDING AREA(if residential,new construction, mod ,or addition) 900 SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: IQ'COMMERCIAL USE OF BUILDING: )liMM�1 S�/i-G-E CC ��Mf�r S#0L4_) ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ NJ Cj$. 6J NUMBER OF DEVICES (if low voltage): FIRE ALARM? ❑YES ENO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 440 (y) /mow Zd /itse eprIGuvcr s�GLD G�TaC �) z.o ezvv_tsr 4111 CZ, USJE 44aLi7atar CONTACT INFORMATION. OWNER NAME: STeu /9A-y TENANT NAME(If Commercial):gtjr26.,fO,t)2,,trG sTUDr-s Lt! OWNER MAILING ADDRESS: STREET r , N) 9 /4 v1 Ate_ S OIlY got 4 it t✓ STATE Z,41 ZIP 990 Z/ OWNER PHONE: ZOJ, g I R - v/24 2/ OWNER EMAIL: CONTRACTOR NAME: CD/7Yi- t l€L t Z.VtZt. 1 L CONTRACTOR ADDRESS: STREET p.0 . 4c„., S' CITY ( t)0 O 0wUm_LIIE STATE !j(fyq-- ZIP 9r .r2 2 CONTRACTOR PHONE: #ZS Y9 s'' O 3 3 3 CONTRACTOR EMAIL: fed QYU A Coo CO e,,, CONTRACTOR LIC.#(REQUIRED): Coins t y 7 Y NY CITY OF EVERETT BUSINESS LIC.#(REQUIRED):QS 34,7v PRIMARY CONTACT: ❑OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: iee , 77j4 y(4- 2ob 34/ -/'f77 Tie PM%/f2 CONTACT EMAIL: J-ed "44 ,ee MS Ai• coesn AGREEMENT'I 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 property 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 PERMIT# � �s—/f E Owner/Authorized Agent Sign re Date (Revised 9/23/2016)