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Mar 23 18 08:02a SUMMIT ELECTRIC INC 3609392431 p.1 <br /> ",,.,,,..-•--, r: ELECTRICAL PERNDI T APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 I (E) everetteps@everettwa.gcv I wnw.everetiwa.gov/permits <br /> [.. <br /> PROJECT ADDRESS: r?›r:j I—1 ' 10(:.r._2-rc AO E <br /> BUILDING AREA(If residential,new construction,remodel,or addition) SF ' <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED 0.13UPLEX E7 MULTI-FAMILY-F.OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: — , `=` . <br /> . •I L CTRIICAL APPLIIC.NRIGNI QNFO1111J1 ,TON - <br /> CONTRACT PRICE OF WORK:$ 6 . k(),(..) <br /> NUMBER OF DEVICES(if low voltage):• <br /> FIRE ALARM? 0 YES ❑NO ASSOCIATED BUILDING PERMIT (if applicable): <br /> DESCRIPTION OF WORK: rE1\C,,p cJ',.i F (2_ <br /> • <br /> • <br /> : •CONTACT IINFORMATION <br /> r <br /> OWNER NAME:LE(4)1'L,1(r C_-t.f.i-E (\IJ (:-- -\ TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> C.-rY STATE ZIP <br /> OWNER PHONE:L-11i 1('I i1 Q OWNER EMAIL: <br /> CONTRACTOR NAME: Ok i.1` W. - �!MU; c. � <br /> t rS\tc1VC. 1 .QJ4 <br /> � - C-• ; ^�i_, <br /> CONTRACTOR ADDRESS: STREET (:\3. LEA4:�'1` j-r is.k,) <br /> Carr < N .,r- PI <br /> int; y J STATS ( ZIP 1,'S t.,-) IL— <br /> :CONTRACTOR PHONE: 1-17j� -3Il 7"),5 CONTRACTOR EMAIL: /i,p,N 'rte ;\c:p._ ,^•v1,.:�,1 _ f.<: 1,..r.- <br /> CONTRACTOR <br /> CONTRACTOR LIC.#(REQUIRED): ; 1'41.En 11 E.:.1 0sly, K CITY OF EVERETT BUSINESS LIC.#(REQUIRED):7 S( <br /> 'PRIMARY CONTACT: 0 OWNER -CONTRACTOR 0 OTHER(Please Specify) <br /> !CONTACT NAME: CONTACT PHONE: HIS <br /> fJ 0 5-)S <br /> LE N.t•/C„ NJ CONTACT EMAIL: <br /> AGREEMENT.'T hereby certify that t have read end examined this appilcafion and know the same to be true and correct All provisions of laws end 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 euthcrityto dofate or cancel lite provisions of any other state or <br /> local law regulating construction or the performance of construction. That/am authorized by the owner of this property to perform the work far which application is made and I <br /> comply with the State Contractors Levi 18.27 RCW end 296.200 WAC. <br /> City of Everett Official Use Only <br /> s. <br /> I FEE <br /> it1VJ . t <br /> i <br /> t <br /> fPERMIT it • <br /> i-- Li... -, 1 0 E 1160 - 131 <br /> Own r/Autttorizect Agent Signature Date (Revised 10/12/2015) <br />