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03/20/2016 21 : 06 90164 P. 001/001 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 J (E) everetteps@everettwa.gov www.everettwa.gov/permIts <br /> PROJECT ADDRESS: <br /> BUILDING AREA(if residential, now construction, remodel,or addition) SF <br /> ,BUILDING TYPE: Ll SFR-DFTACHED 17 SFR-ATTACHED Ll DUPL-FX D MULTI-FAMILY-#OF UNITS:. �MMERCIAL <br /> IUSE OF BUILDING- E&eA <br /> W <br /> CONTRACT PRICE OF WORK:$ <br /> fLWCCWIER OF DEVICES if low voltage); <br /> FIRE ALARM? LJYES Q NO <br /> ASSOCIATED BUILDING PERMIT# if applicable)-- <br /> DESCRIPTION OF WORK: <br /> OWNER NAME: AjjAA TENANT NAME(It Commercial); <br /> OWNER MAILING ADDRESS: STP�F_T <br /> CITY STATS ZIP <br /> OWNER PHONE: 1OWNFR EMAIL: <br /> CONTRACTOR NAME: r 4u�zcc <br /> CONTRACTOR ADDRESS: STREET _F_Y�aff <br /> CITY STATE <br /> CONTRACTOR PHONE-- �64r Zf L?.9&CONTRACTOR EMAIL: <br /> CONTRACTOR"C.#(REQ1 1jRE=0)- r11LA . <br /> CITY OF EVERETT BUSINESS LIC.#(FZFQUIRED):O 16 <br /> PRIMARY CONTACT, n OWNER 171 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME, CONTACT PHONE: <br /> a6d* I CONTACT EMAIL: A.*�r <br /> AGREEMENT.-Thereby cWtify that I have read and examined this application and know the some to be true and correct. All provisions of laws and orainQnces governing this <br /> type of Work MY be completed whether 6peCiried herein or not, The granting of 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, 71781 IBM authorized by 1176 owner Of this property to Perform the work for which application Is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296-200 WAC 1 <br /> City of Everett official Use only <br /> Alt— FEE <br /> PERMIT# <br /> E <br /> arlAwthorizedAgent Signature Fate (Revised 10/12/2015) <br />