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ELECCTRICAL PERMIT / : <br /> PLICATION <br /> " SERVICES <br /> b CITY OF EVERETT PERMIT <br /> f rc. <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425--257-8810 ] FAX 425-257-8857 ] (E) everetteps@everettwagov] www.everettwa.gov/permits <br /> ''; ',1'''-i!'':':.,:.:::,::-::::: :: : •_ <br /> . . . .. �i:JI C'A:'*1.1E;'IINFOlkiVA``9014. ..-.. _.-._.. <br /> PROJECT ADDRESS: ..e .:.:.6*(kke\'`n P, ) e„1,0 T•c 1 J e <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: <br /> . . •. . ::. . ':.'IELIEC` RICAL AIPPIL gCATION Id tF®I0/IATO0 ... : <br /> CONTRACT PRICE OF WORK:$ 4 ODD. , <br /> NUMBER OF DEVICES (if low voltage): o -M <br /> FIRE ALARM? 0 YES ?O <br /> ASSOCIATED BUILDING PERMIT#(if applic ble)/ ,1 <br /> DESCRIPTION OF WORK: IJI S? L`l/2 7 �/l I� sed,JI (G /2)047 <br /> /tityA5,e_.., , <br /> 4 IYai eev' re)l 3 O • <br /> ,.:.� :. . .-. _'-_. -. CONT;piCT�INF..._ ,_A IOId`_-'-'. <br /> .._:. ::-. _ . - _-.... .... <br /> (?INNER NAME- �t)(1 Et/eft:4 TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: _ . ._ . ...__.,_..... __..„. .......�. . <br /> CONTRACTOR NAME: 51416. ✓ C2/_/7/ E(,....0 / <br /> CONTRACTOR ADDRESS: STREET Jas/D /6Atfi,IL ,v Z` 3 <br /> CITY /i STATE ZIP L U <br /> J' CONTRACTOR EMAIL:C r .» S1 M 6/ C�:lT; <br /> r. <br /> • <br /> CONTRACTOR PHONE: 7 Z� 7�� 3�(0 2 �—�'�^�u � � ��� <br /> CONTRACTOR LIC,#(REQUIRED):jj Q /4/�3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): C� ,.._,. <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR OTHER(Please Specify) 1-7Y/)/r_CF It, ? 4l !-/," <br /> CONTA T NAME )4 CONTACT PHONE: i1 �7/ S �U <br /> dNat- CONTACT EMAIL: CA� ar ner fCf/jep QrpicieCke... <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 andnces avieriary <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 o ny.o erste <br /> local law regulating construction or the performance of construction. That!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 /> ` t \O 0 mo0 <br /> ��II <br /> /^ PERMIT# <br /> A/ I 5Alljj 51 14 E L00 -142\ <br /> OwnerfAutfiorizedAgent Sign, ❑re ate . (Revised 10/12/2015) <br />