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O <br /> ELECTRICAL PERMIIT APPLICATION <br /> r. CITY OF EVERETT PERMIT SERVICES <br /> ��' 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P) 425-257-8810 i FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwagov/permits <br /> ,PROJECT ADDRESS: I 6* GA7xeL1/ ���Kk)OL -- el <br /> BUILDING AREA(if residential,new construction,remodel,or addition) '�� SF . <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: OMMERCIAL <br /> � Ak\ � S� . . <br /> USE OF BUILDING: • <br /> .. , = ::',: .'> LE©TRAGAL o-KifC otic <; Q_e-- o11 .4."-ytIQl`!. <br /> CONTRACT PRICE OF WORK:$ l t <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES XNO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> 4'- DESCRIPTION OFVVORK: ` ���'� CN� �`�-J�� lV1�-t"‘ `%� �\ <br /> d C AQ JJ <br /> OWNER • <br /> TENANT NAIVIE(If Commercial): <br /> OWNER IVIAILING ADDRCITY STATE ZIP <br /> ESS: STREEF PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: 1`Q # ��c '1^ t; L c— — <br /> CONTRACTOR ADDRESS: STREET' <br /> ��gg <br /> CITY V�\.A \f\-. STATE kki k_`' ZIP q <br /> CONTRACTOR PHONE:t.Z �2«-'Th 5 CONTRACTOR EMAIL I}�11 6�V\�" , v.4 f�?Mck� \•(o AAA, <br /> ,'CONTRACTOR LIC.#(REQUIRED) y s »fnz. -_^„ ry^ �`y_ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):..K`y— —,Wn_` <br /> PRIMARY CONTACT: Ll OWNER 1/ NTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: - CONTACT PHONE: #7 5) Z/O,r7(�Dr/� <br /> • - �C_ , CONTACT EMAIL: � <br /> ; ,V� l�, T'_,ti ( \ �i C6 Vv\ <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 oftf1nances governing this <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 em authorized by the owner of this property to perform the work for which application is made and! <br /> comply with the State Contractors Law 18.27 RCW and 296.20b WAC. <br /> City of Everett Official Use Only <br /> • <br /> I FEE <br /> . 447 litri� s: <br /> ,l <br /> PERMIT# <br /> .�..w._ - <br /> • E n ( fp— CFA <br /> •wner/•-�� <br /> iSignature ate 7 (Revised 90/12/2095) <br />