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4ETT ELECTRICAL PERMIT APPLICATION I ON CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION O' -PROJECT ADDRESS: J 3 M(11\ S�, �\J Q1t 0�2V"J BUILDING AREA(if residential, new construction, remodel,or addition) fernocktl SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL 'USE OF BUILDING: 1 e.sid lfWAN ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK: $ G��000 NUMBER OF DEVICES (if low voltage): FIRE ALARM? 0 YES 'NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: ' Qda (D orruits 'm brew( CONTACT INFORMATION OWNER NAME: Br01(t L)ge r TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET P° toy )3aCp(p CITY C tie rf't STATE WPr ZIP gaaoI& OWNER PHONE: 9O(p -1 (p) gm:5 OWNER EMAIL: CONTRACTOR NAME: Dunston Bradley Industrial Inc. CONTRACTOR ADDRESS: STREET PO Box 13266 CITY Everett STATE WA ZIP 98206 CONTRACTOR PHONE: 206-718-8823 CONTRACTOR EMAIL: Bradllger@dunstonbradley.Com CONTRACTOR LIC.#(REQUIRED): DUNSTB199140 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 39142 PRIMARY CONTACT: 0 OWNER ❑CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: CONTACT EMAIL: AGREEMENT:I 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 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 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 I comply with the State Contractors Law 16.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# I )\11 iq • E qt 741- ner/ h rize Ag nt Si lure Date (Revised 9/23/2016)