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"1.11*/44:4•//-- '—"AWECTRICAL PERMIT ARICATION <br /> - - CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.govlpermits <br /> PROJECTSITE INFORM 26014, <br /> TION <br /> PROJECT ADDRESS: 2 2,1/ (,,LJ CCS'i 4 p O <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF ,/ <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: l COMMERCIAL <br /> USE OF BUILDING: D.-,(X) __R <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ AC"t2 .'° <br /> - <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK:„__ &I,/h(h e x/r /i ,�'Pcec�,/ `,_A''.t0C�Y� te <br /> ,7 4)'6"/ ®l, ltv€P e pA/o e/ii-g ` . <br /> CONTACT:INFORMATION <br /> OWNER NAME: TENANT NAME(If Crem cial): S' 8?TS&,p f AQ/e- <br /> OWNER MAILING ADDRESS: STREET t1 <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: 64'Lk<Lf CC ECS/ j el L>Q t. '61 C <br /> CONTRACTOR ADDRESS: STREET 4//1 N/.4�/' /93jto” Sall. <br /> ',/ 9 J <br /> CITY f r/��//CSC-7.e e STATE W ZIP /�/ 9 <br /> CONTRACTOR PHONE: �Z31 9D' CONTRACTOR- EMAIL: ft �ox Vet Co /'- <br /> CONTRACTOR LIC.#(REQUIRED): .''4I,)C� /0/ 7/. CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O4 1 <br /> PRIMARY CONTACT: 0 OWNER liCONTRACTOR 0 OTHER(Please Specify) y <br /> CO TACT NAME: CONTACT PHONE: •te,6-r 2,3, 1�C2CJ <br /> " <br /> k6IJ4,- 7e i !V cX/c CONTACT EMAIL: #fieh Ope.geex,ei4 c8 On <br /> AGREEMENT.'T hereby certify that I have read and examined this application and know the same to be true and c'6rrecL 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 t am authorized by the owner of this property to perform the work for which application is made and! <br /> comply with the State Contractors Law 98.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 4101,2, <br /> 1#11!:-Apr J ^ PERMIT# <br /> 0 •r/Authorized .•- Sig II e Date (Revised 90112/2095) <br />