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1-ECTRICAL PERMIT AATION <br /> I�►'' .�.-; CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwagov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3O0 ? W CA I(.JD f` ' va/(c 4(44.Q1 , aI A v tO 4 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: I]SFR-DETACHED 0 SFR-ATTACHED ©DUPLEX CI MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: SI-5-AM, (400(4 't1c <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ DOD . <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ©YES tiNO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: _IV&r 16W .. '12.. 1104 Pa-6 <br /> CONTACT INFORMATION <br /> OWNER NAME:ICe11160" CO. TENANT NAME(If Commercial): N&- CC. . <br /> OWNER MAILING ADDRESS: MEET '70 4e0Y, /. 1(:).-1 <br /> cri STATE (/1.4, ZIP i V v 1 <br /> OWNER PHONE: --5`Z''2. iv '�OWNER EMAIL:,� .M M.S\M EIAttitt(G�`1 aeA0. (AXAn <br /> CONTRACTOR NAME: Sf%Q,\,O'1* 0.0-44.(.."i <br /> CONTRACTOR ADDRESS: slew- 61:$G g@ 6142146 d " `1 <br /> CITY R b STATE WA. ZIP�7 2, <br /> CONTRACTOR PHONE:41 - �" 55 ' CONTRACTOR EMAIL: 6 A'o•(• iA'I�I e! S (,},DZ 6 •(, . <br /> CONTRACTOR LIC.#(REQUIRED): 5e UTA Dict To W\ CITY OF EVERETT BUSINESS LIIC. RRQUlf2Ei):/51.-Clik <br /> PRIMARY CONTACT: 0 OWNER I CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: k$..-1041. ri ,l <br /> tet041' CONTACT EMAIL: 6 • $ C 6,5( M,04 .!hiA/� <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be tree and coned. All provisions of laws and ordinances governing this <br /> 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 <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perfonn the work for which application is made and t <br /> comply with the State Contractors Law 18.27 RCWand 298.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 412-.5-----"' <br /> 4PERMIT�►A # <br /> I .. E 1 (ea- 01t1ri •- ' Ignature Date (Revised 10/12/2015) <br />