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4inr ELECTRICAL PERMIT ALICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I vwvw.everettwa.gov/permits <br /> PROJECT SITE INFORMATION'. <br /> PROJECT ADDRESS: 510 SW k -rr- (YtC u ola or.0 i [,i l�'7U,1ct wj\ <br /> BUILDING AREA(if residential,new construction, remodel,or addition) '� con I SF ,J <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: I3tilsOMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 20OC. OO ( ? <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES l .NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 4,41 t/ /2o V t.J e(,e-pil or) Ac <br /> CONTACT INFORMATION ,} <br /> OWNER NAME: TENANT NAME(If Commercial): J U X �y ��aLt. <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: DO(At1 co-J Sit j, [� <br /> CONTRACTOR ADDRESS: STREET J�J tion tiLy ir1 k A-O <br /> CITY y IQ STATE beisifr zIP 9Y22.3 <br /> CONTRACTOR PHONE: (-(Z5—g5'7—((4/3 CONTRACTOR EMAIL: r e tS A), �CL-(f�TL(3 rc%ier; (,OM <br /> CONTRACTOR LIC.#(REQUIRED) necoyti CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O31837 <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: ?J /CONTACT PHONE: � _ /�'//€; <br /> t(�, <br /> � arC CONTACT EMAIL: .�0 AAA 15 oA).el ee r 1��fT(7�t"��e-/ .Cp4 <br /> AGREEMENT:T hereby certify that!have read and examined this application and know the same to be true and correct. Alf 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 f am authorized by the owner of this property to perform the work for which application is made and! <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> ,tit\ <br /> PERMIT# <br /> E 14\- \ <br /> Owne dized ure Date (Revised 10/12/2015) <br />