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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 1 (E)everetteps@everettwagov I www,everettwa.goviperrnits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: /C.,,j r, g 6 00 '7)-0 AIbR <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYFE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX D MULTI-FAMILY-#OF UNITS: ElCMMERC1AL <br /> USE OF BUILDING: ) Ct,-A SS 9,0(') iv <br /> ELECTRICAL APPLICATION INFORMATION <br /> • <br /> • <br /> CONTRACT PRICE OF WORK:SI 35;(-)0 CD <br /> 'NUMBER OF DEVICES(3 low voltage): C <br /> FIRE ALARM? lYES DNa <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 11;N:P\ ts.)67 ) (-)CLA P <br /> rs)(-)•,).k LX) )VQ <br /> \\.1 <br /> CONTACT INFORMATION <br /> OWNER NAME: M UK a-P1):5 S1kIC T TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTRth CI 0 El KO.1"--1 <br /> r' <br /> CrTY C—VICICT T' STATE CA3 <br /> OWNER PHONE: Li 35.6 Li-F711 OWNER EMAIL: 5-r-,-cp 0 <br /> CONTRACTOR NAME: Mc PJuCk_ecnev: <br /> CONTRACTOR ADDRESS: SWEET PC,-, Sco (40 r,-) <br /> crry STATE , 0 o <br /> 'CONTRACTOR PHONE: 17.- 0 -(X.,.<7c; CONTRACTOR EMAIL 751cv_i,t, tv\c6r,,,-)P-1 <br /> CONTRACTOR LIC.#(REQUIRED):MCGAi-K11.:CO. M CITY OF EVERETT BUSINESS LIC.#(REQUIRED): ; <br /> PRIMARY CONTACT: 0 OWNER gii4NTRACTOR 0 OTHER(Please Specify) • <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: L,0 \-10 M (11'1171-24\,)61,47-71,17 1( <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the seine 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 lam authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the Slate Contractors Law 16 27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> _.4 <br /> . PERMIT#?\ 7 <br /> E \inS —cg (7 <br /> _ <br /> Owner/Au horized Agent Signature Date (Revised 9/2.3/2016) <br />