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477, <br /> ELECTRICAL PERMIT APUCATION <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.gov/permits <br /> e�> ;�..: aZC.�rSt i x�k Av aR'� * v;.. �....cjjw.gctzt _..�..,..�.�..'...T y gMZg"F`,.ttO.. tt �.T 4,s.:..\MM *te\e;ya�*iri3'*n4 ' itk�...., .,..�.�,a`.Yi <br /> PROJECT ADDRESS: /92( (Ay <br /> /iferi Evere-1-4-- <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED Di DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: 2,*a( (2X • <br /> z., ,. ,a ,-. .. ..... <G. ...,x». .a,�..O ., ,� .�..,...:,,...2.a,E,.,�Ts..��.�.,�» Z� _, a. -... � ..�oxt. .. .. ..;. � ..,. "mom, <br /> CONTRACT PRICE OF WORK:$ SCE± y <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES VINO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Iliac"- /C_/141°Aru p -1-CirZr f'',/ p61i-e/' <br /> CON 1'AICT INF©RM TON <br /> OWNER NAME: hVl dp.4 KaiS 7746- 7OV\ TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET /92�/ Ccij� <br /> z,G, <br /> CITY kLl / STATE L//�` ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: t3(IJe.5ky IIec&za/ 61,41-rd'1M abtd �GS'�-7n (-LC-- <br /> CONTRACTOR <br /> -L —- <br /> CONTRACTOR ADDRESS: STREET /20.7 46. 21 S-f Q� <br /> CITY NifVif5141 STATE_ �i"�'" ZIP/ erO? <br /> CONTRACTOR PHONE: y2S—7‘,96-2 -‹ CONTRACTOR EMAIL: (84i2s/e dee/yr1 Z4,74_4 <br /> / _ Y <br /> CONTRACTOR LIC.#(REQUIRED):1L 1.) EGys2_C 3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): OS-660 <br /> PRIMARY CONTACT: 0 OWNER &CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: L/2. 76,0_2_6 25 <br /> VLUo CONTACT EMAIL: <br /> AGREEMENT.:I hereby certify that I have read and examined this application and know the same 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 I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 1827 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> E I S( o - og2 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />