3003 W CASINO RD BLDG 45-04 2019-07-15

ELECTRICAL PERMIT A LICATION I�►� - 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 www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS: 3c03 g-oAD, VEI2ETT7 WA 9624* 6 45 -04 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: foeCOMMERCIAL USE OF BUILDING: MAKLUFAC i—j SLG ELECTRICAL APPLICATION.INFORMATION CONTRACT PRICE OF WORK:$ NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES I.ErNO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: 1-EMovSysTEt•-•l *-i 13 45-12 4 gB `-5-04 'Pit.sii lT k NAGAP- ; PizoVII) PWrz• "TO TEMP. Wone-IL ST?VTlot\lS ss4 Joc3 izV t=3 - 4s-o4- Versa CONTACT INFORMATION OWNER NAME: Boe-I t�lC-r C_OMP.cci\ly TENANT NAME(If Commercial): $p)tn. OWNER MAILING ADDRESS: STREET 3003 WEST CA'S tt c -1z-DAD CITY ERIE¢-ET`s STATE WA.c ZIP 41 e2-404- OWNER 2-Li4- OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: SEQUOYA-t-k ELC-7-7-IC LLC_ CONTRACTOR ADDRESS: STREET 5 l-55 1\1E 92ND 3T CITY 1 DMOS\ID STATE WA ZIP QI805Z CONTRACTOR PHONE: 425 . 6to3 • 11 Ui CONTRACTOR EMAIL: 'be`ci`r' e.r @ e� la�,cpm CONTRACTOR LIC.#(REQUIRED): SECS?U0EL- 977 S9 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 040 4:74-6 PRIMARY CONTACT: 0 OWNER ACONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: km.o,D3. 1'l 11 CONTACT EMAIL:s_Sokr.,\ \o r�g�t-@ Se004 a . CaYvt 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# ✓,►;� 1/11 �c E \g0 2 -- 19 2- Ow r/A tho' ed •-nt Signature Date (Revised 9/23/2016)