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• ELECTRICAL PERMIT •PLIICATON <br /> Fir 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 www.everettwa.gov/permits <br /> P OJIECT BATA= INFORMATION <br /> PROJECT ADDRESS: Qoa - o--(-(j - MetAii _ek. (to5 Crakl5 wtawt VJ1 poc '425 <br /> BUILDING AREA(if residential,new construction,remodel, or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 1r COMMERCIAL <br /> USE OF BUILDING: 50 vIrooSE <br /> -- <br /> ELECTRICAL APPLICATION IN(8'4iG�.�`l�'I�o.h? <br /> CONTRACT PRICE OF WORK:$ SOo <br /> NUMBER OF DEVICES(if low voltage): — <br /> FIRE ALARM? 0 YES IgNO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> 9--12.Nyt0 eX�Sk�.� ,NA.eA-e/r (00'S OVA.C-o uv,C -4-*Lout -co r- 56 Aute <br /> 51n.0re. ?OwP( P — O corrA <br /> 1 J <br /> CONTACT INFORMATILI <br /> OWNER NAME: kJ:2,1M vcl\A - 1' TENANT NAME(If Commercial): �oe...-�l.awt Q, <br /> OWNER MAILING ADDRESS: STREET llit'(4- cock <br /> CITY g n.e.V__ _ STATE 1,jj�- ZIP 96012 <br /> OWNER PHONE: 1- j�0(o- 94?- 32.( 3 OWNER EMAIL: KLv vyt U5h ler e 5 •l�oVh <br /> CONTRACTOR NAME: M 6lecvhri, . CO <br /> CONTRACTOR ADDRESS: STREE/T1;lo p Lt. 6.4-k-l-(wy �j-�2 3303 <br /> CIN/�{��( C,e STATE %/al- ZIP goo 12 <br /> }Tfj <br /> CONTRACTOR PHONE: z • 3S1- (qO7_ (CONTRACTOR EMAIL:Offegele/in e i Go w1 <br /> CONTRACTOR LIC.#(REQUIRED): (CIN O (p } t CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> a,_,, .,_=u. :......:......... ...!" <br /> PRIMARY CONTACT: ❑OWNER eigt.CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: L(e _ 3s-q- No 2 <br /> (/W(K --- Woo Df CONTACT EMAIL: MS PfNZK`J 1 ti Q ►Tu L -Com _ <br /> AGREEMENT:T hereby certify that!have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances 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 t am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE - <br /> 157) <br /> (1) <br /> PERMIT# <br /> LA)b1/4)1A2--- E D- loW <br /> Owner/Authorized Agent Signature Date (Revised 10/1212015) <br />