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Sep 26 17 12:34p Boyer Electric � �63674575 p,2 <br /> EL.ECTRICAL PERMIT APPLiCATION <br /> C17Y OF EVERETT PERMiT SERVICES <br /> 3Z00 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everetfwa.gov � ww�v.everettwa.govJpermits <br /> - . ., . .. <br /> . . . . <br /> ° , _ ; PRQJECT SIT� IN�ORLVtA'�ION,' . ° . <br /> _ _ , _ . _._.-. . . , <br /> PROJECT ADDRESS: 1.� � <br /> BUILDING AREA(if residential,new construcUon,remodel,or addition) SF <br /> BUILDING TYPE; ❑SFR-DETACHED C1 SFR-Al�"ACNED ❑ DUPLEX � MUL71-FAMILY-#{OF UNITS:_ C1 COMMERGIAL <br /> USE OF BUILDING: �'�� �``°�, <br /> , ;. , . _ <br /> : ELE li1CAL APPLICATION IN�O�tMATION . :, <br /> , _ <br /> CONTRACT PRICE OF WORK: $ ,��'' <br /> NUMBER OF�DEVICES(if low volta e : � <br /> FIRE ALARM? ❑YES O <br /> AS50CIATED BUILDING PERMI7# if a licabfe : <br /> DESCRIPTION aF WORK: <br /> �.Y� � � L2E� � �(l�i,J <br /> t ��.r�4- <br /> , <br /> - ;CONTAGT INF�ORMATION ' . <br /> _ _ <br /> OWNER FlAME: �1, C�, TENANT NAME(If Corrtmercial): <br /> OWNER MAILING A�DRESS: s-rixeer 1, <br /> crrv ���,�� <br /> srnre Zi� <br /> OWNER PHONE: OWNER EMlUL: <br /> CONTRACTOR NAME: � <br /> CON7RACTOR ADDRESS: srFxeEr �' - 2,. � �� <br /> crrv <br /> srnre ziP <br /> CONTRACTOR PNONE: �a� � CQNTRACTOR EMAIL: ��-�� ��✓) <br /> CONTi2ACTQR LIC.#{REQUIRED}: � �` .� CITY OF EVEREiT BUSfNESS LIC.#(REQUIRED} ,���� <br /> PRIMARY CONTACT: ❑ OWNER CON7RACTOR ❑ OTHER(�lease Specity) <br /> CONTACT NAME: CONTACT PHONE: � ���. �p <br /> ����� CONTACT EMAIL: b <br /> AGREEMEhlT:1 hereby eeRify tha;1 hava iead and examined this epplication and know the same to 6e 1�ue and ct�nect. AG �srons ofla�vs and ordinances governing this type <br /> o`work will be corr,p�efed vihether specifieo herern or noG Tt�e granfing ofa permit does not presume to give authorr.y to vialate or cance!the provrsrons of any other state or <br /> local!aw regulaifng constructlon or the per/ormancQ of construction. That/em authonied by ihe owner of this property to perform fhe work tar which application is mede and J <br /> comp,y Ki!h t,5e State Cont�sctors�aw 98.27 RCW end 296.200 WAC. <br /> City of Ev�rett OHrrial UsE Only <br /> PERr�ir# <br /> �-2�-�� E � �-c�� - Z� � <br /> O nerl thorize � ent Signature Date (Revised 9l2312016) <br />