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CTRICAL PERMIT AP (CATION <br /> CITY OF EVERETT PERMIT SER ICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 ( FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: I V3 1_i NI r qo r� co �_\jere+ 'f t z() q <br /> BUILDING AREA(if residentlai, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑T SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 16 COMMERCIAL <br /> USE OF BUILDING: � + Ol t �ttf�fi✓t V �` <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 2 r `i 6o -oo <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? ❑YES NO <br /> ASSOCIATED BUILDING PERMIT# if applicable) <br /> DESCRIPTION OF WORK: ACC, R) -bbd' , J00r (Ak e(I ff-C+� 5 ; C. <br /> {� 3ob <br /> 1 t �n CONTACT INFORMATION <br /> OWNER NAME: V ial eGhh ll Lu l#`CVj' TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: STREET I 0 Lj� t^�} <br /> CITY eV �" STATE /LSP f o <br /> OWNER PHONE: Cj ""t L3 "37A �y, OWNER EMAIL: f n �T t �J• L <br /> CONTRACTOR NAME: ,(t (`t� tm un t Chi i o nod �L�,r r , <br /> CONTRACTOR ADDRESS: STREET J ;J ICIf4 j `,,y" V;+e -- / <br /> /Ctrs d 1 / STATE LP <br /> 'ZC 0CONTRACTOR PHONE: 00 \L (J <br /> CONTRACTOR LIC.#(REQUIRED): _'r_C0 j'* I y d it C' CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: ❑ OWNER aONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2 - q - 00 to <br /> �ytr CONTACT EMAIL: 06020 <br /> AGREEMENT T hereby certify that t have read and examined this application and know the same to be true and cormct. All provisions of laws and ordinances governing this <br /> type of work will be completed whether specified herein or not 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 1 am authorized by the owner of this property to perform the work for which application is made and t <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Oficial Use Only <br /> FEE <br /> PERMIT# <br /> Owner/Authoriked Agent Signature Date (Revised 10/1712015) <br />