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.ECTRICAL PERMIT AI�LICATION �2 --�-•s <br /> CITY OF EVERET7 PERMIT SERVICES G�S �Z.,.p,s 9 <br /> 3200 CEDAH STREET, EVERETT, WA 98201 <br /> (P) 425-257-88�0 I FAX 425-257-8857 I (E) everettepsCeverettwa.gov I www.everettwa.gov/permits <br /> . <br /> rROJECT 81TE INFORMATION <br /> VROJECT ADORESS: I `j A'L(�C(L S <br /> BUILDING AqEA(�t resitlentiai, new construcnon. remotlel or adtln�on) SF <br /> BUIIDING TVVE: FR-DErACMED ❑SFR-ATTACHEO O DUPIE% ❑ MULT6FAMILY � #OF UNITS ❑ COMMERCIAL <br /> USE OF BUILDING: � (�7'1'jY'�L <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:3 Dl7 <br /> NUMBER OF DEVICES i1 low voHa e : <br /> FIRE ALARM? ❑YES O <br /> ASSOCIATED BUILDING PERMIT M d a I�cable <br /> DESCRIPTION OF WORK: � �YS�M � z? I'�'j✓� C,1lZl.(,�.t <br /> � <br /> CONTACT INFORMATION <br /> OWNER NAME: S TENANT NAME(M Commereial�: <br /> OWNER MAILING ADDNESS: s*nEE* I I �\L- Sr <br /> i <br /> C� Siq�E ZIP <br /> OWNER PMONEy�i�7'w`I-�3 40 OWNER EMAIL: .�r S �H9(Y�Mti't� . C�WI <br /> ONTRACTOR NAME: � t'. � yWv� F�{�J <br /> CONTRACTOR ADDRESS: s*aEE* �153 �J � �� Jv` <br /> r <br /> ��. t�rr s,,,� w� =�P <br /> ONTRACTOH PHONE. �L1'1•IRO CONTRACTOR EMAIL: Nv ,1 �v'�N �ICU�i �1LVN.(�.�IYI <br /> CONTRACTOR LIC.N(HEOWRED): � CITV OF EVERETT BUSINESS UC.M�aEOuiRED�: 3�1 <br /> PRIMARY CONTACT: ❑OWNER nNTRACTOR ❑OTHEH(Please Specity) <br /> ONTACT NAME: CONTACT PHONE: �- 3a - �V Q <br /> � ��,Q� /�.. CONTACT EMAIL: �� , u�/1rl <br /> AGHEEMENT'T nereDy Cetlrty fnat I Ilave�eaU and examme0 Ih�s appbcafron arrJ know Me same lo Oe lrue antl mrtecf. Alf pronsions ol laws antl oidmances gove/mng ihis <br /> rype oI wod wiOCe compietee w�e1n¢r specAietl peiem or no� Trte granfrng ol a permrt tloes not presume!o grve aufnonry fo violate or cancel Me pmvisions ol any ol�er s!a(e or <br /> lotal law iegolafnrg mnstNclion orl�e pBOormance ol ConslNClron. T�al I am aufhonZetl Dy the ownw ol flr4O�opBrty to peAorm Iho wmk lor wl�ic�applrca(ron is made an01 <br /> oompty wrM fhe Sfale Con!/aclors L'dw 18 D HCW arb 296200 WAC. <br /> � Ciry ol Everen 011icial Use Onty <br /> FEE <br /> r O�6 <br /> �/ <br /> PERMIT# <br /> � E �5 �a �b5� <br />