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I. <br /> EXECTRICA_ PERMIT APPUCATON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE I i- WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> . . . . . . .... .... <br /> PROJECT:SITE:INFORMATION :':: : • .: <br /> PROJECT ADDRESS; <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: MMERCIAL <br /> USE OF BUILDING: 'DC � <br /> ..-.ELEC7TRICAL:APPLICATION INFO <br /> CONTRACT PRICE OF WORK:$ � `� / ' • <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DES RIPTION OF WORK: 104, ► �- � 1 ,C~ ,f �L �nC u <br /> sa SUSS!�� <br /> :;CONTACT II�FORMATI.OIIt! <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS; STREET <br /> cn-y - STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: AlVitkn. . Or ACIA. 2_ (J <br /> 'CONTRACTOR ADDRESS: sTRE S 3 1_s4..t 'L SE <br /> CrrY i STATE WA- ZIP i Rfg <br /> CONTRACTOR PHONE. - 33 . .ipEep CONTRACTOR EMAILeThM►rairb1�i�/Ls lOIIA,•C..01114/1 <br /> CONTRACTOR LIC.#(REQUIRED): ��/ <br /> t�/�F�D�I,PoZ, LP ICITY OF EVERETT BUSINESS LIC.#(REQUIRED)(%��' ✓�"1 <br /> PRIMARY CONTACT: ❑OWNER NTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: - — 33 ..j3 �to <br /> J U 1 AU%t S D1‘.1 CONTACT EMAIL: A�,..� <br /> �v1fY1 V � "D6e4A„S;L�'1 • C®wl <br /> AGREEMENT:T hereby certify that!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 lam 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 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 3 40 °2 <br /> PERMIT# <br /> E QgO 9-i3 <br />