3003 W CASINO RD BLDG 45-07 2019-08-22

ELECTRICAL PERMIT APPLICATION AgiiiiiiPA 4111 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 A. ,;PROJECT SITE INFOMATION ` r � PROJECT ADDRESS: 3003 W. 0-06.51N1.0 tom•�EV 1T� W f �� 4o —��2 (*US) 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: X COMMERCIAL USE OF BUILDING: t-1P.N.0'r/tC_mJ R-IKLa ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ /4 533 NUMBER OF DEVICES(if low voltage): FIRE ALARM? o YES ANO ASSOCIATED BUILDING PERMIT#(if applicable): N[ ,- DESCRIPTION OF WORK: EMPene-A/Z.i/ Po-W 72- AiJb .E?' 4 CC c S 0/0i` ' / eP / aFZ-CICEZ 0PEJ2-13a707)f ,-441.07E s i 7iJG i— i CONTACT INFORMATION OWNER NAME: B0>Ei NG Ltot'►PA.t— TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET 3003 W. C-A.'Su.a 9-'G. CITY VE112ET- STATE WA ZIP °te 2-03 OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: SECS UoYA N •ELEGTI?1 C., LI C CONTRACTOR ADDRESS: STREET 15113S 1.1E 012 tJ7r ST. ?L CITY D)M 01.)D STATE \A46a ZIP C1 1�0 S 2- CONTRACTOR PHONE: 425.803. Vin CONTRACTOR EMAIL: gary.bel an�tr @ SEQ IAO jct�.cern CONTRACTOR LIC.#(REQUIRED): SEG%JOEL`-I-I 39 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):✓ J0406 4-5 PRIMARY CONTACT: 0 OWNER X CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 425.`103. 1-111 GL-1 tsei..At.),Cc 12 CONTACT EMAIL: gar- . bek«rn 05 e r-@ Sellt t e)..8qi'l•L'ayvl 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 ` I PERMIT# ,‘-i'C � E l l \ /'051 Owner/Auth. ized gent Sign.ftre Dat (Revised 9/23/2016)