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477 ELECTRICAL PERMIT APPLICATION <br /> 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.everettwa.gov/permits <br /> PROJECT SITE\\ INFORMATION <br /> PROJECT ADDRESS: L AU5 SE Ie(e`c\' N\e, \ t►v�`' <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: OMMERCIAL <br /> USE OF BUILDING: r'e�cA- <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ I�j fS C)6) <br /> .NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES E9'NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable):1 �^ <br /> DESCRIPTION OF WORK: � � .F\ f ecc e n v`� 'v 5 �'C k �c�t.)►'v\S w <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANTNAME(If Commercial): '��.c ei..'- <br /> \OWNER MAILING ADDRESS: STREET �ce, Sf cJ e. e t f\ \\ �.~G_� J ��yJ�2(�)�]� <br /> CITY eAC.0 STATE "v/ ZIP V LJ <br /> OWNER PHONE: OWNER EMAIL: <br /> " T_ <br /> CONTRACTOR NAME: Lim\\"rS ,1 `c <br /> CONTRACTOR ADDRESS: STREET '3-12i3 \�e(ey-\t <br /> CITY L\)vvi\vWC.UG STATE ZIP 9 C <br /> CONTRACTOR PHONE: "Z Z7 7 —�L9 LA c1 3 l�iJ CONTRACTOR EMAIL: ,�$ \,,fa `� `1C)I 1 Y1C. C� <br /> J" <br /> CONTRACTOR LIC.#(REQUIRED): ) � AZ 4SZ� <br /> \C CITY OF EVER TT BUSINESS LIC.#(REQUIRED): 44( <br /> 0 <br /> PRIMARY CONTACT: ❑OWNER EIONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2C.,tj 9L t 3l� <br /> CONTACT EMAIL: , )S. v��`j��i� • S ✓lC CCS4,1 <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to-be true akicorrect. All provisions of laws and ordinances governing this type <br /> 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 1 am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E � C>0 - ILri <br /> Owner/Authorized gen ignature Date (Revised 9/23/2016) <br />