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LECTRICAL PERMIT PLICATION <br /> CITY OF EVERETT PERMIT RVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425.257-8810 FAX 425-257-8857 ] (E) evereiteps@everettwa.gov www.everettwa.gov/permits <br /> P C <br /> PROJECT ADDRESS: W CiA4v O <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: L7 SFR-DETACHED ❑SFR ATTACHED L7 DUPLEX MULTI-FAMILY-#OF UNITS: 11 COMMERCIAL <br /> USE OF BUILDING: <br /> IE�IE�'�'>121�A1L APPu <br /> FORMAT 80 <br /> CONTRACT PRICE OF WORK:$ <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? YES El NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> 1 <br /> DESCRIPTION OF WORK: <br /> - - - <br /> ' <br /> ff.00WW <br /> TENANT NAME (If Commercial): <br /> MAILING ADDRESS: STREET <br /> CRy STATE 7JP <br /> OWNER PHONE =OWNER <br /> CONTRACTOR NAME: Lu y C/ G <br /> CONTRACTOR ADDRESS: STREET h 7� <br /> CITY STATE Ap <br /> CdCONTRACTOR PHONE: CONTRACTOR EMAIL: LU <br /> CONTRACTOR LIC,#(REQUIRED)• CITY OF EVERETT 13USINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAMEr-,,,,✓t CONTACT PHONE: <br /> CONTACT EMAIL: <br /> AGREEMENT. Thereby certify that I have read and examined this application and know the same to be true and correct All provisions oflaws 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 authorify to violate or cancel the provisions of any other state or <br /> local taw regulafing construction orthe performance of construction. That l am authorized by the owner of this property to perform the work forwhich application is made and I <br /> comply with the state Contractors Law 98.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMITIt <br /> 0wner1Au4t1fior1z Agent Signature Date (Revised 10/12/2095) <br />