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_.—_.. _.. .........��_.._.. _ <br /> __.. _.. _. <br /> ELECTRI�AL PERMrT APPLICATION <br /> CITY OF EVERETT PERMiT SERV(GES <br /> 32430 GEDAR STREET, EVERETT,WA 982Q'{ <br /> (P}425-2�7-8810 � FRX 425-2b7-8857 � (E)everetteps@everettwa.gov 4 www.everettwa.gov/permi#s <br /> PRl�M«�ECT S'i�TE 1NFtlRMATI�?N <br /> �RQ.r�c-r�,uDrx�ss: �"`..��'`�` � ^ � , <br /> BUILDtNG AREA(if residential,new construction,remodei,or addition} SF <br /> BUILDING TYPE: SFR-17ETACHED 0 8FR-ATTACHED ❑ DUPLEX ❑ Ml1LT�-FAMILY-#OF UNITS: L7 COMMERCIAL <br /> USE OF BUtLdING: <br /> ELEC7"�tC�►L.APPLICATION ��1f�ORMA7tON <br /> ,.. <br /> CUhiTftAC7 PRICE OF WORK: $ � ��. C.�'� <br /> NUMBER OF DEVICES(if low voltage): <br /> FIftE ALARM? ❑YES ❑NO <br /> ASSOGIATED BWLDING PERMIT# if a licable : <br /> �ESGRIPTION()F INORK: �"'�-r�"1"� -��"" G��� t� ����=.C�t�� £ ���'��� <br /> C#lNTACT 1-N�C�RMATttMN <br /> QWNER NAME: ����-tw�� ! j��� TENANT 1dAME{tf Commercial}: <br /> QWNER M/AILiNG,4DDRESS: srReer � �4`� '"T`'+�`�� �� q y� <br /> CIIY �� °�'f ��' STATE ! Z1P f �e�-���� <br /> OWNEF2 PHflPiE: OWNER EMAIL: <br /> CQN7RACTOR NAME: � .�{��� - ��� 1�G'} � �'� <br /> COPITRACTOR ADDRESS: STREET �F � � �'��'� F�'°��' �" ^�� <br /> ] � :,�''`�i� <br /> cirr � �r: � `�� g srare ziP <br /> '"'° '�' �� '�G" ?. „� <br /> Cf3NTRACTOt2 PHONE: — ''�`� � CONTRAGTQR EMAIL: ' <br /> �ON'TRACTOR LIC.#{REQulRED): C��� �� "�'� GITY OF EVERETT BUSINESS LtC.#(REQulRED)• �� ;. �� � <br /> PRIMARY CONTACT: 0 OWNER NTRAGtOR ❑OTHER(P{ease 8pecify) <br /> CONTACT AME: a GflNTACT PHt}NE; ��--�� � ��"�t�c�-�� <br /> �} �.�� CONTACT EAM1AiL. ��,.- ��° �.s <br /> "�!�`' <br /> 'I AGREEMEPIT.•J heesby cerfify fhat I have read and euamined thrs appliaatron and know the same to be true and correct: Atf provisions oflaws and ordinances goveming fhis#ype <br /> of work wi(l be completed whefher speciired herein or not. The granting of a permit does not presume ta give auftrarity fo via(ate or cancei ihe provisions of any other state or <br /> tocal Jaw regufating construction or fhe performancs of construction. That!am autharized by fhe owner of fhis pioperty to per!`orm the work tQr whrch apptication is mads a»d! <br /> comply with the Stafe Canfractors Law 18.27 RCW artd 296.200 WAC. <br /> City of Everett Official Use On1y <br /> , �� <br /> i PERMIT# <br /> ' � �._� , �� � � -� � E I- �� <br /> � <br /> OwnerlAuthorized A Signature Date (Revised 9/23/20i6j <br />