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_ECTRICAL PERMITAF_ICATION <br /> . W-/-1 <br /> F CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,T WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwagov I www.everettwa.gov/permits <br /> . ... ... .... . <br /> - ;::_.:PRO Ed717 ITE:`I .FO n t TI : :::. . <br /> PROJECT ADDRESS: .3(25,0r-1 1 n / ^ g��_^ <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF .e-) <br /> V V T J� <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 're%,MMERCiAL <br /> USE OF BUILDING: ' (1 5eLl <br /> .. .: : ::•:..Y : :. :::: :°ELECTRiCAL;APPLICATION INFORMATION ;,•.:. :.......:.. .•.<. ,. ., :. >: .;:: : ': <br /> CONTRACT PRICE OF WORK:$ 1(4/ LQ(DC) <br /> NUMBER OF DEVICES(if low voltage): 140 <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 1 �- ,t 1(�r) of- W � <br /> , S J(A <br /> Gt,CQ 41"10 V1(I L.X a Oa_ 1,04 h ,g <br /> P�� [AP t:L JW fid t C uir4fl t two ( -1,1 t � ij2 <br /> • r• 4 t . <br /> Jilt,, •1l o .jA ' L. I _ 0 .C4,4'T'r�,� `S 1 Lu, <br /> 13(5 <br /> 4r.ai t P _ -_...... .. . . . ... . <br /> : ; �ON7'AC'i''I i�0004010N- <br /> ®:Rnl1 "i1O1V :' <br /> OWNER NAME: TENANT NAME(If Commercial): Cl ori �j(tt2 \A?j <br /> OWNER MAILING ADDRESS: srREEr i �� I ��!��'v� �� ^' <br /> (1/241 <br /> �` wk ZIP/1 t(j0 f <br /> CITY STATE <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Pailk 2V.Talk 'UMW <br /> CONTRACTOR ADDRESS: STREET 551 31 Ave. Sti <br /> CRY STATE WA—. ZIP 1 Va15Z5 <br /> CONTRACTOR PHONE. 3 431^',1OTP9CONTRACTOR EMAIL:APM,I(M j AletAASID(V1 •tOM <br /> CONTRACTOR LIC.#(REQUIRED):�4'O61(a�,le.I CITY OF EVERETT BUSINESS LIC.#(REQUIRED):Q41,%14 <br /> PRIMARY CONTACT: D OWNER 4•NTRACTOR 0 OTHER(Please Specify) <br /> CONTACT,NAME: /� n 1, CONTACT PHONE: 1,.}25-'ai-a Le 2:91 <br /> I 1 1'f U 1 Y► 1 II`M-N►- CONTACT EMAIL: W ' /EN 5' f es <br /> . / )IA <br /> AGREEMENT:Thereby 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 <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 lam 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 /> OV, (J 1, 41/U-) t U FEE <br /> 41),°.-- <br /> Thp '- vt.5 p-w- <br /> (,....\wi. iitv.;....) ithq Leie/ PERMIT# <br /> V <br />