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477". EOCTRICAL PERMIT APPLLATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 ( FAX 425-257-8857 ( (E)everetteps@everettwa.gov I www.evereftwa.gov/perrnits PROJECT SITE INFORMATION PROJECT ADDRESS: 9-400 i 3T 14 57 vet-�{.F (,J iPjZO BUILDING AREA(if residential, new construction,remodel,or addition) SF BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED- CI DUPLEX ❑MULTI-FAMILY-#OF UNITS: 1OMMERCIAL USE OF BUILDING: l4o ;+e t ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$Bpoolt NUMBER OF DEVICES(if low voltage): FIRE ALARM? 0 YES If'NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: .xir_fict egkec--eitr y ci r- ste,w,,t_ cJa I( t'z) Csl� OA (tut( �� a �.+ r tt�u.e�r-- ;n Eau-it-Icy be-01- tivt5 . OaCt-t.r-r+y 4es� CONTACT INFORMATION OWNER NAME: rou'ckrnc( Ateriicc t TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET ISO\ 1-;H p 4-uE 5(,.J 4/61(P cnVY ^e.1A.:1-0 STATE W t^'t zip VOS- OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: %ECA E(eckr,C CONTRACTOR ADDRESS: STREET S(o 14 T A J E S crr e -LJr (_ STATE •• A ZIP 76(08 CONTRACTOR PHONE: e j)Co- 43(4,-5200 CONTRACTOR EMAIL: CONTRACTOR LIC.#(REQUIRED): VECA ECS-5L 2-ML CITY OF EVERETT BUSINESS LIC.#(REQUIRED): C04-19'i4S- PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR C�OTHER(Please Specify) Fie ldi CONTACT NAME: pp ii t CONTACT PHONE: 206� e c _ c13' SAS()r Sc cn©CAn zJy l CONTACT EMAIL: J2san Sc A„,,, vEc .C?vv. AGREEMENT:I 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 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!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 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# ls E 2__ 0 /Authoriz Agent S '--1/ignatur CJate (Revised 9/23/2016)