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May. 24 . 2016 03 : 19 PM Alli�n Electrical Const 253770096 PAGE. 2/ 2 ELECTRICAL PERMIT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P) 425-257-8810 E FAX 425-257-8857 (E) everetteps@everettwa,gov I www.everettwa,gov/permits P -04120T,0 to PROJECT AQDRESS: BUILDING AREA (f resldentlal, new constructlon, remodol,or Addition) SF BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED' D DUPLEX d MULTI-FAMILY-#OF UNITS: 93 COMMERCIAL USE OF BUILDING: CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES if low voltage): FIRE ALARM? CI YES NO ASSOCIATED BUILDING PERMIT# If ap2llcable : DESCRIPTION OF WORK: - �� 01r• c9-f OWNER NAME: T . Q ENANT NAME If Commercial)- OWNER ommercial :OWNER MAILING ADDRESS: STREET CITY s7A'rE= LIP OWNER PHONE: OWNER FMAI1,: CONTRACTOR NAME: CONTRACTOR ADDRESS: O y a CITY U\ \` STATE CONTRACTOR PHONE: �-'S ' ONTRACTOR EMAIL: CONTRACTOR LIC,#REQUIRED; L-,1--'",�'�C K Q CITY OF EVERETT BUSINESS LIC.#(REQUIRED): f S20 PRIMARY CONTACT: 0 OWNER WCONTRACTOR ❑OTHER(Please Specify) CONTACT NAME: , ^ CONTACT PHONE: '� Vj e `-� \ CONTACT EMAIL: AQRRFMENT:Thereby certify that I have read and examined this application and know the soma to ba true end correct, All provisions of laws and ordlnoncos govorn/ng this typo of work wlll be comploted whether spac/f/ed herein or not, Tho granting of o permit dons not presume to give authority to v/olate or cental the provisions of any other stofo�r local law regulating construction or the performance of conatructlon, That i am awhoHzod by the ownor of this property to perform the work for which applleation is mado and t comply with the Slate Contractors Law 19.27 RCW and 286-200 WAC, City of(nyerett Official Uso Only FEE PERMIT# Ownor/AuflMrIzed Agent Signature Data (Rovisod 10112/2018)