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„,,,„,„4„ <br /> riii‘..„ .- ,,, , „ ELECTRICAL PERMIT Ai i)LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (F)425-257-8810 I FAX 425-257-8857 1 (E)everetteps©everettwa.gov I www.everettwa.gov/permits <br /> .. . t : <br /> PROJECT Sl'�`E INFO A10 <br /> It�NIAT1�� : ; <br /> PROJECT ADDRESS: / i ! I rte St E t ( ver--e f-- <br /> BUILDING AREA(if residential, new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED El SFR-ATTACHED El DUPLEX Cl MULTI-FAMILY-#OF UNITS: fil COMMERCIAL <br /> USE OF BUILDING: Fri? e,e-I` .,fid t 1,,'�-� ; <br /> ::::10611404:00000100.110000.01100 <br /> CONTRACT PRICE OF WORK:$ 7,000, 4 i) <br /> NUMBER OF DEVICES (if low voltage): • <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#Of applicable): <br /> DESCRIPTION OF WORK: 1-614A kc' L-(A10 r -6 4 v txf r- ” <br /> [..........._ <br /> :_ . , , .. ,, ::. . ,COI+N1'ACT•INFORMAT(0:N' . . . . • . _..... . .. <br /> *NEP NAriag - 17.1114,s 1iV I i e "" t'to 4 TENANT NAME(if Commercial): Atd eiri, t Ledo s <br /> OWNER MAILING ADDRESS: STREET 710 # <br /> Cif V STATE t I)'AZip 616'2 04, <br /> OWNER PHONE ,,...OWNER EMAIL: <br /> CONTRACTOR NAME: 0etex,t-4eteciv!C I N C <br /> CONTRACTOR ADDRESS: s REST PO d,ice f?X, 6+"*83 1� <br /> cry ' i..X"T ✓ JTE V N') STATE WA ZIP Ci 8.Z <br /> CONTRACTOR PHONE: 7 874i CONTRACTOR EMAIL: bOIC, d. Ckk KCe nif lab k OEM <br /> CONTRACTOR LC.##(REQUIRED) . 0S Fr-VI 3 Q ryl JCITY OF EVERETT BUSINESS LIC.#(REQUIRED):0&f in i <br /> _ .•. _ __.. <br /> PRIMARY CONTACT: E OWNER XCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: t4 Z <br /> NAME: CONTACT PHONE: c t. dd . Cil it <br /> .1 <br /> ,,,.. e �V d&— CONTACT EMAIL: to 05G n.f' teG-`i tG16acC` Look . WOi <br /> AGREEMENT:Thereby certify that I have read and examined this application and know the same to be frac and correct All provisions of/ewe and ordinances governing this <br /> type of work wilt be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate ar cancel the provisions of any other state or <br /> local law regulating construction arthe performance of construction. That!am authorized by the owner of this properly to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 f CW end 298.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> ..k4? _20, '43 1 -‘, 7 _ i i E .. q7)VA- 4.) I <br /> OwneriA fiorized Agent Signature Date (Revised 10/12!2015) <br />