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• <br /> ELECT * ICAL PE IT APPLICATLI <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 j (E)everetteps@everettwagov www.everettwagovipermits <br /> PROJECT SITE INFORMATION <br /> , <br /> PROJECT ADDRESS: bot e e(ett " <br /> 00 14, CW0 4a, ettitti tiA6( q99014 004i, <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY #OF UNITS: COMMERCIAL <br /> :USE OF BUILDING: <br /> ELECTRICAL APPLICATION jjrrt <br /> CONTRACT PRICE OF WORK:$ • 10 <br /> NUMBER OF DEVICES if low voltage <br /> FIRE ALARM? DYES LNO <br /> ASSOCIATED BUILDING PERMIT# if applicable): „ <br /> DESCRIPTION OF WORK: dain0 exicting pip" Vitt e1Eeln1. ifeirittte, updkzit <br /> torlit.13 <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME ill Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> Env aTars 2a, <br /> OWNER PHONE: OWNER EMAIL <br /> - • • - - . <br /> CONTRACTOR NAME: DUMSt011 Bradley Industrial Inc. <br /> CONTRACTOR ADDRESS: sTREET PO Box 13266 <br /> cry, Everett STATE WA „ 98206 <br /> .CONTRACTOR PHONE: 206-718-8823 GONTRADTOR EMAIL: Bradliger©dunstonbradley.com <br /> CONTRACTOR L/C.kREOUIRED): DUNSTB199140 CITY OF EVERETT BUSINESS LIC.ArtEouiRED): 39 AtZ <br /> PRIMARY CONTACT: DOWNER Oi CONTRACTOR 0 OTHER(Please Specify) <br /> -CONTACT NAME! rave ,ort CONTACT PHONE: V)0Ci. - J, 51 <br /> CONTACT EMAIL:, Q11111(1 @dunstoiViitIN.COin <br /> AGREEMENT:/hereby cettaty that I nave read and maimed this applicathm and know the same to be bawd correct Ail pmvtsrons of laws and ordinances governing this type <br /> of work will be completed whether spec-Asa herein or not The granting of a permit does not presume ro trive authority to votaie or canoe'the ptomain of any other state or <br /> local law tegotama construction or the performance at constniction That I am authorized by the owner of this property to perform the work for which aAatcation is made and I <br /> comply with the Stale Contractors Law le 27 RCW and 296,200 WAC <br /> CO of EvwtM*. fixtai Use Only <br /> PERMIT# <br /> Vu ' I3110 la E - 05 <br /> OwnaAhorzed Agent Signattl\-- ate (Revised 9/23/20161 <br />