2714 COLBY AVE ROMIOS PIZZA 2019-06-24

ELECTRICAL PERMIT APPLICATION �^' y 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 PROJEiCT SITE';:INFORMATION PROJECT ADDRESS: Z`7/4/ , ,LY ,1(e- BUILDING AREA(if residential, new construction,remodel,or addition) 21t SF BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: IWCOMMERCIAL USE OF BUILDING: P)OZ01 ELECTRIICAL APPLIC ►TIONINFORMAT.:ION CONTRACT PRICE OF WORK:$ 1:2-00 NUMBER OF DEVICES (if low voltage): p.IO�.✓ �F- `s a /lf FIRE ALARM? 0 YES t NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: gusyt:l :,: :rte v N,/ii ?ere_ CONTACT'INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET LI 13 3 f 2,v3,-„,g PI Wit'/ CITY CIif�4:*L°-�'.}' � STATE ZIP 9 2 tip OWNER PHONE: LI Z 737 0076 OWNER EMAIL: CONTRACTOR NAME: GS HEATING CONTRACTOR ADDRESS: STREET 3409 EVERETT AVE CtTY EVERETT STATE WA zip 98201 CONTRACTOR PHONE: 425-309-6507 CONTRACTOR EMAIL: JONATHAN@GSHEATING.COM CONTRACTOR LIC.#(REQUIRED): GSHEAC*939RK CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 19685 PRIMARY CONTACT: ❑OWNER I2f CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425-309-6507 JONATHAN FARRELL CONTACT EMAIL:JONATHAN@GSHEATING.COM AGREEMENT-I hereby certify that!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 1 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMI(T'�# E 15ff\I 1 V5(0 per/Authorized Agent Signature Date (Revised 9/23/2016)