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ItECTRICAL PERMIT APRT ATI <br /> C ON <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 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 20 j_i 1C2C2 <br /> BUILDING AREA(if residential,new construction,remodel,or additio 1Z0VSF <br /> BUILDING TYPE 0 SFR-DETACHED 0 SFR-ATTACHED -0 DUPLEX 0 MULTI-FAMILY=#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: R c,t L,V1 k(a, <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ Co cop <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: ,.` ' -v`',1D fiVf) <br /> CONTACT INFORMATION <br /> OWNER NAME: ,jt c.,Uk `fi`U1t...tsvw\ TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET -07 L-9 tr ( j,�^7^, <br /> q� CrrY 3)�Q�(t� STATE UV ZIP eie6 -v3 <br /> OWNER PHONE: 12 5-" 24-2-- t O OWNER EMAIL: `t"tI C��y^�V)uec yV1S h , God /// <br /> CONTRACTOR NAME: Cisco Electric, Inc <br /> CONTRACTOR ADDRESS: sTREET22612 92nd Ave W <br /> CRY Edmonds STATE WA ZIP 98020 <br /> CONTRACTOR PHONE: 360-618-3038 CONTRACTOR EMAIL: maria@ciscoelectric.com <br /> CONTRACTOR LIC.#(REQUIRED): CISCOEI914DE CITY OF EVERETT BUSINESS LIC.#(REQUIRED):042432 <br /> PRIMARY CONTACT: IJ OWNER la CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 360-618-3038 <br /> Maria Nicodemus/Cisco CONTACT EMAIL:maria@ciscoelectric.com <br /> PERMIT# <br /> 4 A E f WW -1 <br /> AGREEMENT:I hereby certify that I =read and examined this application and know the same to be true and correct. 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 I am authorized by the owner of this property to perform the work for which application is made and I <br /> ebtapbMititklariStidefterlitsSignatne18.27 RCW and 296.200 WAC. Date (Revised 912312016) <br />