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0 <br /> tECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 ( FAX 425-257-8857 ( (E)everetteps@everettwa.gov( www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS; <br /> BUILDING AREA(if residential,new construction,remodel,or addition) 5F <br /> BUILDING TYPE: 0 SFR-DETACHED CI SFR-ATTACHED 0 DUPLEX D MULTI-FAMILY-#OF UNITS: XPOMMERCIAL <br /> USE OF BUILDING: <br /> ELEG;TRIcA APPI~ICATION.` N�ORM/A7I'ffOI�I <br /> CONTRACT PRICE OF WORK:$ -- <br /> NUMBER OF DEVICES(if low volts e): <br /> FIRE ALARM? BYES 13 NO r' <br /> ASSOCIATED BUILDING PERMIT# if applicable : ' ki <br /> DESCRIPTION OF WORK: .m'? P�' <br /> r <br /> ` 1 '1 <br /> CONTACT INFORMATION <br /> OWNER(NAME: TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE " <br /> .. ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: f«�/ ff,? /y�C �r'G, f c t,!3 ^/�ter' 4%�' ,,.�✓.'�/a-e <br /> CONTRACTOR ADDRESS: STREET ` �✓ !'�/3�, <br /> CITY �. - STATE <br /> s(/> ZIP <br /> r CONTRACTOR EMAIL: <br /> CONTRACTOR PHONE: 71-S-17j'� j / �"1,1� ;'71 <br /> CONTRACTOR LIC.#(REQUIRED): ,' tf jtL' CITY OF EVERETT BUSINESS LIC.#(REQUIRED:U `/ <br /> PRIMARY CONTACT: OWNER XCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME CONTACT PHONE: J(;,— `72 ' <br /> ; Jt�L /j, d� f �✓'` CONTACT EMAIL: /'),f,/; raJ .5 <br /> AGREEMENT.,T hereby certify that 1 ave read and examined this application and know the same to be true and correct. All pr visions 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 I <br /> comply with the State Contractors Law 16.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> fig rr` PERMIT# <br /> Owner/ orized Agen ture Date (Revised 10/1 212 0 1 5) <br /> ._.... _ ._ .... <br />