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ELECTRICAL PERMIT *WLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, INA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 j (E) everetteps@everettwa.gov! www.everettwa.gov/permits <br /> . ,... .: .,- . . . .- ;. • .. :-. .:.. s��l�_�'i'-�1°ft'��lilNlF'.I;�)RII�I�:�"1.•.Ifs-- ;::. - <br /> _ P11� <br /> PROJECT ADDRESS: 0 I v�u e c)>, " P�o�c e_ <br /> BUILDING AREA(if residential,new construction,remodel,or addition) zoo SF <br /> BUILDING TYPE: © SFR-DETACHED tgSFRATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: El COMMERCIAL <br /> USE OF BUILDING: <br /> @�.5� <br /> t•. <br /> Tr®191 <br /> PP]LI <br /> FO <br /> O9;N1 <br /> n <br /> � <br /> CONTRACT PRICE OF WORK:$ 2 C00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES �U NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): n // <br /> DESCRIPTION'OFWOR(K: ,4�� e cG� Add- 4- <br /> G— (' ec ev11S�--S ►n c <br /> - �CTNED� <br /> CONTA -I <br /> fOWNEP.NAML: `"\41��- Zed 1n c�i S� TENANT NAME(If Commereiat): <br /> ER MAILING ADDRESS: STREET <br /> crry STATE 7JP <br /> OWNER PHONE: `- OWNER EMAIL; <br /> CONTRACTOR NAME. y iQ 4 <br /> CONTRACTOR ADDRESS: STREET I _7C0 C /11� k-fi e-O S Lv(, Sv20/ (C-) so �( <br /> CISTATE 'k ZIP /� <br /> CONTRACTOR PHONE: Zc o S 6�6s CONTRACTOR EMAIL: J Sc)J� e� e(gt.t`r c- �"`� �• C�vi <br /> CONTRACTOR LIC,#(REQUIRED): POCrGTS'p— l Z( ?S ICITY OF EVERETT'BUSINESS LIC.#(REQUIRED): 05 It 6 <br /> PRIMARY CONTACT: E7^OWNER IXCONTRACTOR I]OTHER(Please Specify) <br /> CONTACT NAME: I CONTACT PHONE: 57 7( 61K <br /> ��evl b-\ lj.J p Vv1 o� L CONTACT EMAIL: <br /> AGREEMENT T 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 <br /> type of work will be completed whether specified herein ornot. 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 I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 98.27 RCW and 296 200 WAC. <br /> City of Everett Official Use only <br /> FEE <br /> PERMIT# <br /> Owner/AutFiorized Agent Signature Da (Revised 10112/2095) <br />