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425-252-1666 c.m,heating 09:32:35 01-20-2016 8/19 ELECTRICAL PERMIT APPLICATION witCITY 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 . .. . .. ... . . �. '� ,;... .; PROJt~CT.SITIR 10F01,RMAT10iN .. . PROJECT ADDRESS: laity 0. hW . Y BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL USE OF BUILDING: E 'ECTRICA •APPLIPATIPN INOORMATION.. CONTRACT PRICE OF WORK:$ 2.50 NUMBER OF DEVICES(if low voltage): FIRE ALARM? El YES ❑ NO ASSOCIATED BUILDING PERMIT#(If ap llcabie): DESCRIPTION OF WORK: t f1. ,wt`s f t(47 4.e t c. 1.11fr,w.i 'i a 1' u.j CJSCbr •CONTACT IINFORMAI1ON OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET CITY STATE ZIP OWNER PHONE: OWNER EMAIL: .e.•.. . ............--...............—.a._....._,-_� ..r. . —..r...._. ...e i ....... .t..._.1._. .. i..4 . _�.T........... , .. .— .... • -.a..-....+.e .._ ... _ ..:....—.. CONTRACTOR NAME: Get akthfle CONTRACTOR ADDRESS: STREET 1415 B locdw( ✓ cnY Everett STATE INA ZIP 9 t.2a 1 CONTRACTOR PHONE:_125 m (,lett(p CONTRACTOR EMAIL: debbie GlYkBA4-itn 9. GoVYI CONTRACTOR LIC.#!(REQUIRED): ... ... m N S?/D N CITY OF EVERETT BUSINESS LIC.##(REUIRED)� : a t PRIMARY CONTACT: El OWNER } CONTRACTOR El OTHER(Please Specify) - CONTACT NAME: CONTACT PHONE: 425 254 6464 yebtore t39LteIS CONTACT EMAIL: cebbieDam hecafih9•cpii AOREEMpNT:T hereby cattily that I have read and examined this application and know the same to ba titre and correct, All previsions 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 gills,authority to violate or cancel the provisions of any other state or local law regulating construction arthe 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 Stale Contractors Law 18.271iCWand 298.200 WAC. City of Everett Official Use Only FEE C:g PERMIT# Deb,bAti/paiwut " - EC (a0 ( - L (% Own or/AuthorizedA nature— Data 9 (]ate (Revised i0/12/2015)