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rob electrical permit 001.bmiEpa <br /> ELECTRICAL PERMIT APPLICATION <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 j www.evorettwa.gov/per grits <br /> PROJECT sire usystesA.TION <br /> PROJECT ADDRESS: (r. ' A44.is oars Dt t l e t i 'I(k 20 <br /> BUILDING AREA(if residential,new construction,remodel,or addition} sF <br /> BUILDING TYPE: 0 SFR-DETACHED I ,SFR-ATTACHED O'DUPI.EX 0 MUI TI CAMtfl.Y-#OF UNITS:,„, -._ . 0 COMMERCIAL <br /> USE OF BUILDING: .4tsi 4 e.. <br /> E.ECTR.IGAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:B 14/4 - 012hnei <br /> NUMBER OF DEVICES(tf low voltage)' <br /> FIRE ALARM? 0 YES ONO <br /> AS r CIATED BUILDING PERMIT*Of applicable): <br /> SCRIPTION OF WORK: <br /> CONTACT INFORMATION' <br /> OWNER NAME: T‘iliel Cyd tri TENANT N�AME(If Coommetcial): <br /> OWNER MAILING ADDRESS: STRUT ,jay at 3 t ,chola.s,.,c�,.t,,„, 5 <br /> g 20 <br /> OWNER PHONE: Zeto g (OWNER EMAIL. SOleib�0146r - eVrA <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: st tr'.eT <br /> .rc <br /> STATE ZIP <br /> CONTRACTOR PHONE. CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#0tEckH c): CITY OF EVERETT BUSINESS LicA#(REQUIRED) <br /> PRIMARY CONTACT: t3WNER 0 CONTRACTOR 0OTHER(Please Specify) ���.wyy�� <br /> CONTACT NAME: CONTACT PHONE: cry ,". cie I <br /> 4 I I{3 t; TT 1441 CONTACT EMAIL: (id IA roj)gr <br /> *AGREEMENT.I heretwnen*that t have reached atwitter'this appacation and mew the omen)he true and kMpoWmnsonars and . twesgnvtottRp 00s <br /> typeof Wom war be completed whethersperthed soccer or net rte gaming n pen*doesnot presume to pm authority to via'atn mr camet the:prorrs:,ns at any other Mete Of <br /> rccatfa'regvkatng COIA$KPCEICOB cat the t ormatcce contrdettom mitt t am outhunted by Ni'h rtct of ties progeny to Perform the weak tat trioit emanation is mode and t <br /> c'ec,ty tot's the State Contractors taw 79:27 RCW and 296200 WAC. <br /> - City of Emelt 048041 Use Only <br /> FEE I <br /> V l V(J`� <br /> PERM!E70v) 64-14141' 8149,01-11 � <br /> OwnerlAutborized Agitpt Sigmatute Gate fSevieett tt/Ili2OtN1 <br /> 1( <br /> https://drive.go ogle.com/file/d/OB01 E33cMvNSeU08tWkY4M 1 IyM 1 E/view?pref=2&pli=1 8/23/2016 <br />