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From: 04/19/2016 10:29 #332 P-001/001 <br /> LECTR CA.L, PERKMT AP 'L1CAMN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I vvww.everettwa,gov/permits <br /> ••-ROJECT SOTI(! P4Le, ik': i •:,TOON <br /> PROJECT ADDRESS: I 1 p\� �C ��`� sLG: t r� <br /> BUILDING AREA(if residential, new construction,remodel,or addition) SF • <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: �� .� <br /> ELECTRICAL APPLICATION INFOR'NATIO <br /> CONTRACT PRICE OF WORK: $)35L �`'� <br /> { <br /> ;NUMBER OF DEVICES (if low voltage), \ 3 <br /> •FIRE ALARM? ❑YES XNO <br /> ?ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: \tel \ �Q.) `?4 AC c- <br /> C •NTACT INFORM TION <br /> OWNER NAME:C1 --)Y--- TENANT NAME(If Commercial): :S t, ��SCC \�, <br /> OWNER MAILING ADDRESS: STREET \y(1� V`•\ <br /> C:TY 1 ,S STATE � ZIP I\E/CAC‘jr7 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: C� Q)\.(72)\-A\,, �t��9. �� (� �\ � - <br /> CONTRACTOR ADDRESS: STRE`EI `�('� ^ T C <br /> CITY \1 f 1 \\I t STATE\ j ZIP C1B&C -' <br /> CONTRACTOR PHONE: 3Lf -(r,Ct 1100'CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): G—L��IaSCc,3v�P� ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): 05 4C+1 <br /> PRIMARY CONTACT: DOWNERNTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:i.p R -3 Ct _( l c' <br /> Cl <br /> tY��� �� �� CONTACT EMAIL: J <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 t is <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 /> *51) !Pg..... <br /> IPERMIT# <br /> E <br /> Owner/Authorized Agent Sig`:.,`re Date (Revised 10/12/2015) <br /> PIE`IE` .,` Cc.,(( ,je4-s of 140-6..f3-1YCTO ft p-t-) nA-, <br />