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a'r ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECTADDRESS:73UZ�j LQmbaf Ave._A �U e �� �Jvil� iSZO1 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) 2,5 O 0 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: F0 ("1() C.Qv15SY (AA- 7v' <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ -t-( a 60 <br /> NUMBER OF DEVICES if low voltage : ` <br /> FIRE ALARM? ES NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: v‘ .� F 5 <br /> O S�'LJ:i -} y c:G1N��C-vc. :v\ <br /> ct k \n� C��, r • 1 <br /> Oor,-cS i� JNST:���\ l �wl1r�, l� r-A masse / �c�5� exi . <br /> bc,c�G \v-k-- a_ EAeJct?o, <br /> CONTACT INFORMATION <br /> OWNER NAME: Ro c-rn c‘_ C();AA(,)t-" r J inTENANT NAME(If Commercial): �(:),r1 (5.4\p S p lel 6e.N;ter- LG A-ter. <br /> [� <br /> OWNER MAILING ADDRESS: STREET P_ G •C),E),< 'I\L{ ctl G( (� <br /> CITY 0 I if("\ (/ STATE ""1 /ZIP "1 ql 5 V <br /> OWNER PHONE:( 06) -- 6 1( OWNER EMAIL: <br /> CONTRACTOR NAME:Washington Alarm <br /> CONTRACTOR ADDRESS: sTREET2030 Airport Way S <br /> CITY Seattle STATE WA ZIP 98134 <br /> CONTRACTOR PHONE:206-436-5301 CONTRACTOR EMAIL:Permits@washingtonalarm.com <br /> CONTRACTOR LIC.#(REQUIRED):WASHIA1282C3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):025389 <br /> PRIMARY CONTACT: OWNER CONTRACTOR ✓ THER(Please Specify) Permit Coordinator <br /> CONTACT NAME: CONTACT PHONE:206-436-5301 <br /> Manny Ornelas CONTACT EMAIL:Permits@washingtonalarm.com <br /> AGREEMENT. T hereby certify that I have read and examined this application and know the same to be true and correct. 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 I am authorized by the 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. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> 7 (30ft 6 E 6((i)(19 <br /> Owner/•ut.• - :-nt Signature Date (Revised 10/12/2015) <br />