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ELECTRICAL PERMIT APPLICATION <br /> I*✓GaiCITY 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 /> K.:: .�............ -- : �� �..,.: -.. � ......0 ..- nor, -. <br /> PROJECT ADDRESS: OZ S lAj evert, (AO (212b2O <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED . SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: S-f Lt U')n a`"YeLi✓ <br /> = S> ,.:_ ,:* IN OWE SN <br /> CONTRACT PRICE OF WORK: $ 3 9)go <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 11 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: (I) t CJ 01 Y1i 0 v(2-)w i t&V►QS,((P) CAI/ i ll/it-. (1 ) 20 <br /> O�Vvi p epi f f — (I ) ov-f-f .ef. /Ze p/are (2) &KI tal rn fr', f <>) <br /> a ii- ,/ RA i'- rot('f : <br /> OWNER NAME: 01 I rj s- TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET Aaf VPVv <br /> CITY GV /4 STAT> <br /> zip,Ni <br /> \OWNER PHONE: 4/�✓ 2IO• 30//y OWNER EMAIL NM <br /> CONTRACTOR NAME: //'( /*'VJ e e/.ecfrl <br /> CONTRACTOR ADDRESS: STREET /5O /1-7-to JR J2' <br /> CITY / a ICe(f-t-•-ef/e/V.f STATE l/✓1 ZIP 17526 <br /> CONTRACTOR PHONE: 4/2S 70 32-03 CONTRACTOR EMAIL: ISO()lf'(ho-vi�-ete ✓ic2. c9-7t-1 <br /> CONTRACTOR LIC.#(REQUIRED) /N#O£4S'762 QG CITY OF EVERETT BUSINESS LIC.#(REQUIRED):0%'Lt/47 S <br /> PRIMARY CONTACT: -OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 42.0 It 0 320---5 <br /> CONTACT EMAIL: <br /> AGREEMENT:I hereby certify that I have 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 /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> , . City of Everett Official Use Only <br /> PERMIT# <br /> LAMA.O -23 (7- E 11 - I (p2 <br /> Owner Authorized Age ignature Date (Revised 9/23/2016) <br />