1327 112TH ST SE ABC LEARNING CENTER 2019-08-20

LIECTRICAL PERMIT APICATION 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 PROJECT SITE INFORMATION PROJECT ADDRESS: I 3>7 1 1 Wit, . -_SC BUILDING AREA(if residential,new c6nstruction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: CIZIMERCIAL USE OF BUILDING: ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ 2_0 NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES 0 NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: Sf- I( O„aa„roc ( .-filt9-s 61 ,r-cla_LA f I CONTACT INFORMATION OWNER NAME: d ,)45 p.rvit p 1 AA eTENANT NAME(If Commercial): Age- 1 N°J C.61,„-F, OWNER MAILING ADDRESS: STREET /" - ./ CITY STATE ZIP OWNER PHONE: 4-25- yZ) OWNER EMAIL: fl ± 5er pb)fitcr{"^ec rol CONTRACTOR NAME: -'? .. /' c .).-__c. CONTRACTOR ADDRESS: STREET /q/p .If W i A t__ CITY ymA ` , / STATE IMA---�1/rLl- ZIP 1' CONTRACTOR PHONE: 1CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): CP qZ3 g CITY OF EVERETT BUSINESS LIC.#(REQUIRED):O5 312Q PRIMARY CONTACT: ❑OWNER 0 CONTRACTOR 0 OTHf=R(Please Specify) CONTACT NAME: CONTACT PHONE: ZT.2,-/ —7 ?i o 6 �j2� L__C0� s 1201k- CONTACT EMAIL: C ie+nn„c-•/a S •,�s.�/�.,'c AGREEMENT:I hereby certify that I have read and examined this application and know the same to b�true and correct. All p visio of laws an ooy rdinances 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 lam authorized by the owner of this property to perform the work for which application is made and f comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# __— f 2 7 E (c2 -- d.9 Owner/Authorized Agent Signature Date7 (Revised 9/23/2016)