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02;'02;'2017 14 : 26 #1635 P. 001/001 <br /> ECTRICAL PERMIT API CATION <br /> CITY OF k=/ERETT PERMIT SERVICES <br /> OL 3200 CEDAR STREET, FVFRFTT,WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 1 (E)everetteps@everettwa_gov I www_everettwa_gov/permits <br /> PR MOT,31T5 INFORMATION <br /> PROJECT ADDRESS: tLO AU lr,1 ),- t3 <br /> BUILDING AREA(if residential,new Construction,remodel.or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED O DUPLEX ❑MULTI-FAMILY-#OF UNITS: COMMFRCIAL <br /> USE OF BUILDING. /v\ C l L <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK_$ <br /> NUMBER OF DEVICES if low voltage : <br /> FIRE ALARM? Q YES Q NO <br /> ASSOCIATED BUILDING PERMIT# if a licable : <br /> DESCRIPTION OF WORK: L X_ A. 0t//j)t27b SP <br /> C*NTACT INFORMATION <br /> OWNER NAME: i3PV/'&fNANT NAME(If C <br /> 3osrmwcml): �4 f <br /> OWNER MAILING ADDRESS: s�7tEET ;-4 ��,� G✓ <br /> cm _ sTwzF up a�!'J <br /> OWNER PHONE: S"� OWNER 1=M L: <br /> CONTRACTOR NAME: L ti.t O f J' �Jll <br /> CONTRACTOR ADDRM.- sTREEr O <br /> city srr zm " <br /> CONTRACTOR PHONE: YZf ls' l/(� CONTRACTOR 12AWL: <br /> CONTRACTOR LIC.#(REOUIRED): L IU d'�'` ,ZL/� CITY OF EVERETT BUSINESS LIC.#(REQUIRED):O/�' <br /> PRIMARY CONTACT: E3 OWNER ❑CONTRACTOR OTHER(Please Specify) 1745 f/y q1_ 077e*�,L. <br /> CONTACT NAME: CONTACT PHONE: �j f �2 - <br /> CL,F� 0 L CONTACT EMAIL: <br /> AQRFF-MF-N7:I ho-t;y-tty mgr Aws rend and axw*W this A*Uci VW and know the same too be Mm&W C"Wa All wovisia+s of�ws and orC6�xes <br /> of wgrk wHl 4R Gangabted whether 17o��C this(ype <br /> Adrs111 Of nOt. TAR 118 O/a p6Vnik QOBS not l�►'rR t0 DiYa eulholl<�to Vlatat+a or CalL19t tt+e pIOVI$ig75 P1 nnY ot116f State or <br /> local law ragukdbrp oarsbtxv--ft perforr Oma of oorR9 anon. That I eon augrort�ed hY the owns of this prgparty 10 penFirm the work for which 8gplkatfon is made and <br /> conOY with the Stnta CondaFtays Law 78.27 RCW and 286.200 WAa <br /> QtY of 1=vaMft Rf>ioa!Use Only <br /> PERMIT# <br /> .�. a <br /> Ownar/ 8fpnetun Qat. (Revised 8/13/2016) <br />