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04/06;'2017 09 : 21 #19710 P. 002/002 <br /> PLECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 FAX 425-257-857 1(E)everetteps@everettwa.gov I www-everettwa.gov/parmits <br /> PROJECT SH11 INIPORMAT>ION <br /> PROJECTADDRESS'. <br /> BUILDING AREA(if residential,new comtructiw,remodel,or addition) SF <br /> ,BUILDING TYPE: 0 SFR-DETACHED Q SFR-ATTACHED ❑DUPLEX M MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: f Z"1 T'G <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ <br /> NUMBER OF DEVICES if low voita e : <br /> FIRE ALARM? ❑YES E3 NO <br /> ASSOCIATED BUILDING PERMIT I if applicable): <br /> DESCRIPTION OF WORK: <br /> CONTACT'INFORMATION <br /> OWNER NAME: TENANT NAME fif Commercial): <br /> OWNER MAILJNG ADDRESS: sTRCLr &14k <br /> CRY STATE 7.�p b✓ <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: f' <br /> CONTRACTOR ADDRESS: aTr ¢ <br /> cm <br /> STATE yp <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR uc. REQUIRED): j / CriY OF EVEREW BUSINESS LIC.#(REQUIRED)-'c/< .� <br /> PRIMARY CONTACT: M OWNER ❑CONTRACTOR ❑OTHFR(Please Specify) _ <br /> CONTACT NAME: CONTACT PHONE: Y. j � f 12.2d�b� ��uS — " CONTACTIcMAIL- C <br /> 01 <br /> AGRt=EMEN-P I hereby c-My that 1 haW reed and exam~this appkadon aw bmaw the same to Le true errd ootrect. A4 Wovigions vllaws ono arofhetrces�oV6 this type <br /> d wok will be owtV wd whWw 4wdfbd r"wn or nok Tyre g/a"of o ponyx1 does not p+bsiane to <br /> bots/law regulating txN+strtwWn of qra pm*mretraa of cwUvL kn that I arrr autAor@rd by Pre owrwr *b4►rp+ .1a violate or cancat t1w Arov(sbons d any od+erstale or <br /> wm{oly with the State CorarocAvs Lew 18.27 RCW and 298.200 WAC. to Pa'h'nn the wotlr�6r which icatbarr 1s We and 1 <br /> City Of Evoroft oftial use Only <br /> PERMIT# <br /> E ,O <br /> A 9ip�hrn D <br /> (Revised bV23/2016) <br />