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yLECTRaCAL PERMIT 1UCATON <br /> CITY OF EVERETT FERMI 'VICES <br /> .f-1 rt�a <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 ] (E) everefteps@everettiva.gov] www.everettwa.gov/permits <br /> PROJECT ADDRESS: � lJ c-Cy�S.eAea-\. Aver <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: t✓<-4 <br /> (ELECTRICAL APPLICATIION �NFOQ7YVIATION <br /> CONTRACT PRICE OF WORK:$ <br /> NUMBER OF DEVICES (if low voltage): 7- <br /> FIRE <br /> FIRE ALARM? D YES EY:NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): pp <br /> DESCRIPTION OF WORK: . ‘AX- ANAAn,Nt G4 is v t'z2 (.4. k i..-; 1 L jj\ <br /> (\AAA) /��• C.A.A.JSkra v"- <br /> :•: : _.• �-- COI1]TACT�_INFORMATION:. : :: :;_•. :� .:. <br /> OWNER NAME •• . U-VQ.Af Q..'} SAfv0-0‘ •\--)‘S4 Z. TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: • <br /> CONTRACTOR NAME: ►tom• (-Q.d Cowvw.wvl C L4-1cJ(A3 <br /> CONTRACTOR ADDRESS: STREET ?0 130x. \3\Q <br /> kfk. STATE w 2p A- ZIP 9 8 _`` <br /> CONTRACTOR PHONE: t'L ' 5f 3''4% V CONTRACTOR EMAIL: C tAX k-v+ .cJ wSC! LGA PAY+�t-ft.x�•�-1J+ LO'41 <br /> CONTRACTOR LIC.#(REQUIRED): MA.c 9 c 201 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): as 059,fp <br /> PRIMARY CONTACT: 0 OWNER IKONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 416--s o- 1-11 3-(J <br /> 'S`t v Q v. CONTACT EMAIL: �ws.k•-1 � C lr OS((Y� (�y a�. L OpVl <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions di 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 orthe performance of construction. That/am authorized by the owner of this propertyto 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 /> — <br /> FEE <br /> �[ O O 0. - s <br /> PERMIT#(Revised1 <br /> , �L <br /> Date ! 10/12/2015 <br /> Own. Mafia " edAgent Si.i,�'- � <br />