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03/15/2016 10: 36 4254978700 PRIDE ELECTRIC TNC PAGE 01f01
<br /> OLTi.LECTRICAL PERMIT APPLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov J www.everettwa,gov/permits
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<br /> nPROJECT ADDRESS: '�'� ^ ‘-‘e_.4......0 Q 1U ,
<br /> BUILDING AREA(if residential, new construction,remodel, or addition) �D sF
<br /> BUILDING TYPE: D SFRDETACHED ❑ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY #OF UNITS: p1�y
<br /> COMMERCIAL
<br /> USE OF BUILDING: © _._
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<br /> CONTRACT PRICE OF WORK: $ Q 5 1506
<br /> NUMBER OF DEVICES (if low voltage):
<br /> FIRE ALARM? ❑YES WNO IAS - �eea Ir-6.--/-C f _,-
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: 'rte - I P1-43 CO t e-- r 00-,i IA, kl-t6 J fie w 6 cr ceS `
<br /> ..,' � � ) ,CONTACT:�,� Vgyp4Nn0,1 ' c � irq
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<br /> OWNER NAME; '�
<br /> TENANT NAME If Commercial): a 4t I,;1.$ Co r,o no-Lo y‘
<br /> OWNER MAILING ADDRESS: s BEET 6 • - 7 i , ,,,J (/
<br /> CITY /�
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<br /> I ZIP L 11
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<br /> OWNER PHONE: 4� S lq OWNER EMAIL: 4
<br /> CONTRACTOR NAME: ,Qr'Lt ec-t "t- p
<br /> CONTRACTOR ADDRESS: STREET ( $ 13 0 4- ! 6 e s-�_S u_c/z• (0-rd
<br /> CITY 'v,i' v STATE 6.)A ZIP cis-1pd-
<br /> CONTRACTOR PHONE: 4,)-5-- 3 -,:)-t--/0 ) ,CONTRACTOR EMAIL. j lOrat.,,, S Ov\ p.; eteCfrc 4 ,eh...�
<br /> CONTRACTOR LIC.#(REQUIRED)• j ?z-._ g, 1CITY OF EVERETT BUSINESS LIC.#(REQUIRED
<br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR ❑OTHER(Please Specify) LNILS
<br /> CONTACT NAME: - CONTACT PHONE:
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<br /> NAME: ‘ CONTACT `f�- X 3 6 � � �a?
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<br /> CONTACT EMAIL: ' b•,,., Sop, t-- P� ea
<br /> AGREEMENT.:T hereby certify that l have read and examined this application and know the same to b true and correct All provisions of laws en�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 construct/on. That I am authorized by the owner of this property to perform the work for which application Is made end!
<br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC,
<br /> City of Everett Official Use Only
<br /> FEE _
<br /> 1(0103 -0(1dl
<br /> PERMIT#
<br /> u- Snit/1,7Q S.-.,t — (Y -It' E 232‘0- 06
<br /> ownor/Authorlxsa Agent Signature /� ,o. 6 p/�
<br /> 1( I� er°C°k f CAI-9 Pc .,PV' p f a bbl. 0 K- (Revised 10112/201 5)
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