1211 E MARINE VIEW DR 2019-07-24

Jew_ ELECTRICAL PEE=MIT APPLICATION vaiiI�►' ---; CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov l vwvw.everettwa.govlpermits PROJECT SITE INFORMATION: PROJECT ADDRESS: I p. I i E lige t vt_e V r-P,ti "k',, BUILDING AREA(if residential,new construction,remodel, or addition) ")5720 SF BUILDING TYPE: 0 SFR-DETACHED ]E'$FR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL USE OF BUILDING: I QS f /2/2,76 -A. ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ _ca G NUMBER OF DEVICES(if low voltage):. b FIRE ALARM? YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): C 1 IP)6 _0 0/ DES iii IPTI OA OF WORK: 4 hS ..1111 o < / GA"- L oii h/ a xi c)?( t I 0 ' --e—e i,-c-i,-c- i?) 1-71-0 7-0 Lc.S` ' . _ fJ n e<_,, GP LC.71 V' 1 ir .,2 crc{-e, , , ONTACT INFORMATION • OWNER NAME: ` Qt/'G{ STENANT NAME(If Commercial): OWNER MAILING ADDRESS: sTREEr .% ( , 03 vi-cy 5'7 S/ S-�.'_ CITY j? C.. Q'7 STATE f F/ 0 3 ZIP OWNER PHONE: Co .7 ,�" R EMAIL:fi` �(pm LLL ..y..C.-i,40 CONTRACTOR NAME: CONTRACTOR ADDRESS: ' STREET / CITY STATE ZIP CONTRACTOR PHONE: CONTRACTOR EMAIL: ' CONTRACTOR LIC.#(-s QUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): PRIMARY CONTAC/ FOWNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct All provisions oflaws 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! comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only FEE qS '------- PERMIT# �- .1-3/..----- 20(o -0c)3 wd ner/Authorized Agent Signs ure Date (Revised 10/12/2015)