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06/01!'2016 13: 32 3602779474 PHILLIPS SON ELECTR PAGE 01 <br /> NECTRICAL PERMIT AFLICATION <br /> A►�, _ 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.everettwa.gov/permits <br /> PROJECT SITE-.INFORMATION. <br /> PROJECT ADDRESS: apt D.`l, -PAN Pt Jt. Se., <br /> BUILDING AREA(if residential,new construction,remodel,or addition) LI~11 SF <br /> BUILDING TYPE: EJ SFR-DETACHED 0 SFR-ATTACHED ® DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ; OAL-J✓<iPP'LICI'krlil►N)INFORMATION <br /> CONTRACT PRICE OF WORK: $ I a alb.00 <br /> NUMBER OF DEVICES (if low voltage): �Q <br /> FIRE ALARM? ❑ YES lII NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): G t Sc1-OD <br /> DESCRIPTION OF WORK: <br /> ILON'TACT INIORMATIO'N • <br /> OWNER NAME: 5C`(\CA ahVC-$A1't1.eANNS TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTFFT a30S V`'1}~ Cr S� <br /> CITY 2-\hVt.V 57,aTE ) ZIP CI bD,CA <br /> OWNER PHONE: 1' 2,Q3- 11l5 OWNER EMAIL: <br /> CONTRACTOR NAME: Vh tA" St". ` ,k \C- J�� <br /> CONTRACTOR ADDRESS: sTREEr 1350 }pct Lk c x> <br /> CITY lTVCA Vie\1_, CW STATE 71P V Sa V <br /> CONTRACTOR PHONE: 3±1p aid- Slo1 CONTRACTOR EMAIL: mtxC1�ytr�il an iNc,sr\. (-OWN <br /> CONTRACTOR LIC.#{REQUIRED): ,�I1.�S�U551�1LT CETY OF EVERETT BUSINESS LIC #(REQUIRED)•051S 1 D. <br /> PRIMARY CONTACT: OWNER EI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> AGR(;EMENT:T hereby certify that I have road and examined this application end know the same to ba true and correct. All provisions of laws end ordinances governing this <br /> typo 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 stats or <br /> local law regulating construction or the performance of construction. That l am authorfrod by the owner of this properly to perform tha work for which application Is made and I <br /> comply with the State Contractors Law 78.27 h'CW and 296200 WAC. <br /> Ft Ci of Everett Official Use Only <br /> \C�5e- c t Ak Z\k �� 360 Lta.l *wry-I w\Nev1 ry <br /> FEE <br /> C O M i? e\te Fvr (4. 4.•‘-‘e,u\-‘ or\CJ <br /> PERMIT it <br /> Q\ \r-V r. i\-\1"1 \ \/0 <br /> Owner/Authorized Agent Signature Date (Revised 10/7712.095) <br />