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Sep 20 2016 09:27PM Bosch Electric Inr 425-377-8977 page 2 ELECTRICAL PERMIT APPLICATION 4467r CITY OF EVERE-T-1- PERMIT SERVICES 3200 CEDAR STREET, EVERETI-, WA 98201 (P)425-287-8810 FAX 425-257-8857 j (E) everetteps@everettvva.gov j www.everettwa.gov/permits P1itO�ECT` T1E )INiLoRriAdTIC1 PROJECT ADDRESS: Ni, U.v-(I ep Lk3,2n BUILDING AREA(if residential, new construction, remodel,or addition) BUILDING TYPE: ❑SFR-DETACHED ❑SFR ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNfTS: ACOMMERCIAL USE OF BUILDING: ELE13TR1t6AL A,�PL, dT10N IMFORM�7.(fON CONTRACT PRICE OF WORK:$ CQ 0-,q t', 12 NUMBER OF DEVICES (if low vol _ FIRE ALARM? ❑YES I?rN—O ASSOCIATED BUILDING PERMIT# if a livable DESCRIPTION OF WORK: 0w `1f g 4,,- Q >=I2 NAME:: r E Vw ErT TENANT NAME if Cornmerclal , OWNER MAILING ADDRESS: srRFET crrr STATE ZP fOWNER PHONE: OWNER EMAIL: NTRACTOR NAME:NTRACTORADDRESS: sraEET i7c) 1093 My vENS STA-fE IrV�9 CONTRACTOR PHONE: K Zv $ CONTRACTOR EMAIL: l L'li±Cri"1�I�C CONTRACTOR LIC. REQUIRID): CITY OF EVERETT BUSINESS LIC, 'ED}: VT g 7 PRIMARY CONTACT: ❑OWNER 54'CONTRACTOR ❑OWNER(Please Specify) C ONTACT NAME: j L GONTAGT PHONE: Ls— (•f ZZ C�'f �DSCt7 CONTACTEMAIL: b �,�CtCYJCIh�� `, Q GREEMEhfT--T hereby cerf/fy that 1 ha ve road and examined fhla a +D1J K type of nark wr7!be completed whether pp#catlon and k7ow tha sums to be trua end correct A#provls.bns of lams and crdlnences goveming this /oval law spacl#ed herein or not, The granting of a pannit dose not presume fa g�1 a aulhorify tc viclate or cancel the provis ons ofany other aisle or regule Ste construcCron s Lew pe-27 R nce of ccnstnrofron. .nat/em euthorked by the onner of this property to perform the work forwhkh appl/catlon is mads and 1 comp, with the State Contrer,-tors Lew 98,27 RCW end 2g8.2pp(NAC. City cfEvemit O/fioial Use Only FEE c) PERMIT# (4 E Owner/Au 'o ed Agant Signature to (Rovised 10/12/2015)