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EL...' rRICAL APPLICATION. <br /> 0177- CITY OF EVERETT PERMIT SERVICES <br /> 32003 CEDAR STREET,E"VERETT,WA 98201 <br /> P)425-257-8810 1 FAX 425-257-8857 ((E)everettepsCajeverettNa.gov I wvm.everetrNa,0ov=perr its <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2- . �t n.��. c� ,.tee � J a e�'r- w� _ �2-G t <br /> BUILDING AREA;if ,residen isf,now construction,remodel,or Sof=t sn) SF <br /> BUILDING TYPE. Q°SFR-DETACHED C3 SFR-ATTACHED EI DuPLEx 0 mun-rAMI.Y•#Of UNITS:—___ 0 COMMERCE L <br /> USE OF EviLDlNG: <br /> ELECTRICAL APFUCATION INFORMATION <br /> CONTRACT PRICE OF'G ORK:$ <br /> NUMBER OF DEVICES if low voltage): <br /> FIRE ALARM? 0 YES Z NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: <br /> CONTACT INFORMATION <br /> . E <br /> OWNER NAME: .s w., i .w ✓ TENANT NAME ttCommercial': <br /> OWNER MAILING ADDRESS. <br /> sfar f j f <br /> OWNER PHONE: LI C/&- 705 OWNER EMAIL: Plloet <br /> CONTRACTOR NAME: S o z G'�C- <br /> CONTRACTORADDRESS: sxrat;e-, SIO 245—^ <br /> ^ <br /> CONTRACTOR RHONE: 3U6, Co O 7L,(q/ CONTRACTOREMA§L: S. I- 5 / w �; 1� ice <br /> CONTRACTOR LIC.#{REQUIRED':: D Gf# t(2�6 CIT1 OP EYEftET7 BUSfNESS LIC.#{ 'taR <br /> PRIMARY CONTACT: Q OWNER Z CONTRACTOR 0 OTHER(Please Specify; <br /> CONTACT NAME: ,. CONTACT PHONE: s.t,JS . L { 's_ 5 SC C `I'L4 <br /> CONTACT EMAIL; c <br /> AGA'EEhtEFhrr f ha'e;kir aaKaP�that t has 3 rc3d acct exam?htS aPaaca'on a °:BrkFw S't aarra be late anti Carr, Afi pmvisrons of Aaws and Ondm.80CW gaMnl,vV M Pipe <br /> Pf wptFt sial'J6 cL+.?=P/63az>�hBtA�r sAe�S'�+s tte:efr a,2ot T?se pranL+'ng of a e�rmd[:�s�'z�esvrza ac�.�ut autt�s!ty to ouo�89e or csr^.e�'tf�A�>;4a�n3 a3#snY sa?Aer state or <br /> by'at taw mgu atsrrg -'strvocr.•or m*ttarfom-4me That tam auVw'zgd by tiro causer of this P ^arty'3p•eadorm the wo,*for which,appkow,s mala and f <br /> IXIMP),w",, the Stars Ca.;SfaV&S taw£8 27 RCW and 2-96 200 WAC. <br /> r-•--- C.3y&Everan€ r.,*U"Only <br /> ` RER iT# <br /> O mertAuthorized Agent Signatum tic (Revised$r2V20 Fi <br />