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it ELECTRICAL PERMITTPLICATION <br /> i�►%T-!; CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 • <br /> (P)425-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECTSITEIINF0ORMA*(ON <br /> PROJECT ADDRESS: +01.-• ( vrit 1 1 vg,_ vev4.1 'A '6 yp7 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) X 0(4) SF <br /> BUILDING TYPE: it SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION.1MFORMATIIOIT <br /> CONTRACT PRICE OF WORK:$ Lit OW <br /> NUMBER OF DEVICES(if low voltage): ,l 11♦ <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> 1.11-4-0 iib1 J—fed ky (I TKO ('- Kv) <br /> tt ' CONTACT'INFORMATION ' <br /> OWNER NAME:¶W W �� TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRE S: STREET WI a p/. '""1/1 (j /441,4'• <br /> CITY 4Vf P 1'� STATE 1,1 cm 01�t/� <br /> k' f 1911' `i,f�1rlMl� a ryAif. col <br /> OWNER PHONE: OWNER EMAIL: � <br /> CONTRACTOR NAME: DWj(/ pittr. `fifr& (i <br /> CONTRACTOR ADDRESS: STREET I /0 Pit j W �i• <br /> CITY Htr I N I STATE zip el ./ <br /> CONTRACTOR PHONE: kIw�' 91 ll�i 0 CONTRACTOR EMAIL: p� / rd G•VO• r <br /> CONTRACTOR LIC.#(REQUIRED): VA R F J 4 Y pAi CITY I EVERE BUSINESS LIC.#(REQUIRED):IP 'I'I fill MI* <br /> I* <br /> PRIMARY CONTACT: OWNER ❑CONTRACTOR l OTHER(Please Specify) I i' N Fee (p�Mb13 k. N( p I <br /> CONTACT NAME: CONTACT PHONE:p: t. .'y I (�: y�lr�• I <br /> ?make. Nf Il1►I, CONTACT EMAIL: {�N (�-P per prof 1?i1 e ?c• Coil <br /> AGREE NT.I hereby certify that I have read and examined this application and know the same-to be true and coned!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 consbuc/on or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and 1 <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett.Official Use Only <br /> PERMIT# <br /> i� i� E i(6Oa-\2O <br /> • c/Authorized nt Signe Date (Revised 9/232016) <br />