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4677 CITY OF EVERETT PERMIT SERVICES ELECTRICAL PERMIT APPLICATION <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> P 425-257-8810 FAX 425-257-88 7 <br /> ( ) � 5 I (E)everetteps@everettwa.gov( www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 3C?oo Pacae-cel ler Ave Evecet}. WA '3.S ) <br /> BUILDING AREA(if residential,now construction,remodel,or addition) N/A SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX El MULTI-FAMILY-I/OF UNITS: .COMMERCIAL <br /> USE OF BUILDING: Shohami In COLSI(Y7 <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 36,6,(D 9 <br /> NUME3ER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑ YES VINO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): /� <br /> DESCRIPTION OF WORK: I--e(YIGVe ('Deface go lige ,(\ j(l�( 12v x#i�L <br /> e( eS 1 a <br /> up_s _cabictek-, $S erne- fr be ec'e�, <br /> t CONTACT INFORMATION <br /> OWNER NAME: SW!acl (liS C. t (Yt- ./ TENANT NAME(If Commercial)) <br /> OWNER MAILING ADDRESS: STREET 3 j OCKe e,1leC Pie m/s Li0c-I <br /> CITY F v'e c e -' A ZIP cispjzo: <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: E(lerS\/ <br /> CONTRACTOR ADDRESS: STREET JJI�yi�S(^�2��3 p(+� [] <br /> CITY &4ffic cl STATE wits, ZIP 1 U` 390 <br /> CONTRACTOR PHONE: 2.53- 29 -o oo S CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): CNEQ50697(59 CITY OF EVERETT BUSINESS LIC.#f(REQUIRED): 02101b <br /> PRIMARY CONTACT: 0 OWNER g.CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: $C1,0 .9 La. &is) <br /> (ecce( maga CONTACT EMAIL: ierretccQ.Fla(Nclgao0 Enecs ys�m <br /> AGREEMENT.:T hereby certify that I have read and examined this application and know the same to bo 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 slate or <br /> local law regulating construction or the performance of construction. That/am 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 18.27 RCW end 296.200 WAG. <br /> City of Everett Official Use Only <br /> FFE 'WPIA n/ <br /> I52, P <br /> PERMIT II <br /> 12-7S-1C E 15 \2- no\ <br /> Owner/Authorlied gent Signature <br /> Dale (Roviserll0/12/2.015) <br />