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ECTRICAL PERMIT AF ,_ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: � j �( L: � -=g �� ` �� <br />BUILDING AREA (if residential, new construction, remodel, or addition) ���v SF <br />BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: 8 COMMERCIAL <br />USE OF BUILDING: P;?� (,(iC12 - %,�j� `�L c�t <br />ELECTRICAL APPLICATION INFORMATION <br />CONTRACT PRICE OF WORK: $ / p, c� �, `' <br />NUMBER OF DEVICES (if low voltage): �� <br />FIRE ALARM? ❑ YES ❑ NO <br />ASSOCIATED BUILDING PERMIT # (if applicable): .� 1(� � � � (�>J�v <br />DESCRIPTION OF WORK: z%/ _ ��"' j SY� ^� ��' 1`��ti� �- �Ci' — <br />4 ��-- �i� � � L: - �"% ! / L G ` � � �- . .t �L <br />CONTACT INFORMATION <br />OWNER NAME: �'- �� S� %� - — � ' TENANT NAME (If Commercial): �'L� - - � �;j���,��%Z <br />OWNER MAILING ADDRESS: sTREET �`j� � �,� , 2i ��%� - r <br />CITY �_ �r' STATE �% I ZIP /��`O J <br />OWNER PHONE: OWNER EMAIL: <br />CONTRACTOR NAME: �,t -S � c= � j`� J G �(/� � <br />CONTRACTOR ADDRESS: sTReET � Z '.C- � c <br />CITY L"J'"'� =- (_ STATE ZIP � � � <br />CONTRACTOR PHONE: CONTRACTOR EMAIL: <br />CONTRACTOR LIG #(REQUIRED): ��5 �. �[,_ �- � 7�o G�L CITY OF EVERETT BUSINESS LIC. #(REQUIRED):D'J..3 ���' <br />PRIMARY CONTACT: ❑ OWNER ` CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: CONTACT PHONE: <br />z� - zy -- �� �v <br />C�> �� ��/l�C'�� CONTACT EMAIL: '""" �L.'�'�/� C`r� ` <br />S `/ S C Ut� G4i� C�1//Ci.�� C C�::�l/t <br />AGREEMENT: T hereby certify that 1 have read and examined this application and know the same to be true and correct. AI! provisions of laws and ordinances governing this <br />type of work will be cornpleted 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 I am authorized by the owner of this property to perform the work for which application is made and 1 <br />comply with the State Contractors Law 1II.27 RCW and 296.200 WAC. <br />City of Everett Official Use Only <br />FEE . <br />'�2��,�� <br />PERMIT # <br />Eli�� ,�. <br />(Revised 10/12/2015) <br />