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!LECTRCAL PERMIT A LUCATIO N <br /> .Erb" 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 /> PROJECT SITE �V I OE Gi /QITIIOr <br /> PROJECT ADDRESS: 'nip E.ue rc,re eh 41gy <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑ MULTI-FAMILY-#OF UNITS: tY1 COMMERCIAL ff <br /> USE OF BUILDING: Prt'\k,lc Sc Ao / ! <br /> ELECTRICAL APPLICATION INFO^fi AT1ON <br /> CONTRACT PRICE OF WORK:$ 3r/DO <br /> NUMBER OF DEVICES(if low voltage): <br /> 'FIRE ALARM? ❑YES NO <br /> ASSOCIATED BUILDING PERMIT##(if applicable): 4 Qani,I t f/ec( 'may odltrf <br /> DESCRIPTION OF WORK: Iit5 }/ Me,v /Zoe t`rcr,t`L p tP/I Shutl'l Prgiede4 <br /> thyr„cy srrpl,ox. 6O 'lQmf.t resr's ,z oi.,Ilefs) In,4lI F-x14 g./ <br /> aivt•er?.e.cr, I.,Il 43 1'0I €�CiS/ ty //lcti11-turn...1 <br /> CONTACT II 7FO:111Ir,TI •Al <br /> OWNER NAME: L4he f k6Pet- LLC TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET `7?IV Fu-e. rce r.,3,1y <br /> m'c EU.e / STATE (,SvI ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: A/C glee iccr/ IK{ <br /> CONTRACTOR ADDRESS: STREET P.O. 13&.i 44 465 <br /> cm' Teieer4.4 STATE ItA°t ZIP q$LI V$ <br /> CONTRACTOR PHONE: Q53-753- 3e73 CONTRACTOR EMAIL: C 4ce%CG tcy/(he Co..1 <br /> CONTRACTOR LIC.#(REQUIRED): J4C EL F E 196/SF CITY OF EVERETT BUSINESS LIC.#(REQUIRE D): - <br /> PRIMARY CONTACT: l !OWNER ❑CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT __II '1 <br /> NAME: CONTACT PHONE: 05 3_ S3_36 7 3 <br /> ° C� r+ Kl;, CONTACT EMAIL: C(6.14 40 cce(ed-rrtr/T7c . Coe'l <br /> AGREEMENT:T 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 <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 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! <br /> comply with the State Contractors Law 18.27 RC W and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> E is ( 1 -Oz <br /> Owner Auth ' ed ignature Date (Revised 10/12/2015) <br />