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• 0 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> t.P.),42.5257-8810 .,I FAX/125,257-8857 1..1E).everettepsOevereffwagovj www;everettiva.govOaermit$ <br /> 011164,10.,erTU 11iftiittilikall014 -----• - : ' : - ' . ' . ' -- ' 'i-- <br /> _, <br /> PROJECT ADDRESS: \ 13 1 I:La.:\Y-\\.:Fve Av\e, -. Ve re44- <br /> Y\I-A 9 t 201 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) 1-1 1, ,6 2.1 SF <br /> BUILDING TYPE: El SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX Lk(MULTI-FAMILY-#OF UNITS:Si 0 COMMERCIAL <br /> .!tifSEOFBUIIDING: it r ,•r. -jos toil -. ja0111\1\-t3 <br /> 1dtarig.L:ILAipoutolitioki ii44-0E4gAtierio : . .. :' ': '• :: ".. ' :: ••--.',•,' , :.:' . <br /> CONTRACT PRICE OF WORK; , 61000 • . <br /> i <br /> NUMBER OF DEVICES if low v•!tag* ‘-f <br /> FIRE ALARM? 'T.4,YES CI 0 <br /> ASSOCIA7rED BUILDING PERIINT , - appltabl'e,: <br /> DESCRIPTION OF'WORK: av,osee, S'I.r)( )/(_ (\J(AQC-41-C. Y-1'; nr\ck Y\3y <br /> : 1 <br /> .............. 1 <br /> .., <br /> sosPivit-00***** • ' . : : ,. <br /> . . .. . . , <br /> • <br /> owNER NAME: f--veNre ti` RC-X/0 Y. . A‘Killai ix.EINIANT NAME Of Commetufal):,Ric.. . <br /> OWNER MAILING ADDRESS: sTREET P000 B .)( F.f... ± <br /> cny evz r - (1- STATE VA ZIP CltB 2 <br /> OWNER PHONE: 1-1 25 -..-25(2?-q 222. OWNER EMAIL: <br /> CONTRACTOR NAME: S A 'Q A ‘..5'...)- Ilk..ti 61KVS C.4-, <br /> III <br /> iCONTRAOTORADDRESS: •STREET <br /> . z <br /> on-' 1- 4 v.\nv.Qc3,a.i STATE \NA ZIP <br /> CONTRACTOR PHONEV4 ZS)"2-4Ack- -1(d I-CONTRACTOR-EMAIL: an'afri(A--eisid -ferny-11.. 1.4!-OM Wet 4 101 <br /> CONTRACTOR LIG.RREQUIRED):5AcJIT;5\I\tgr,7e)30 .19.7 OF EVERETT BUSINESS LIC.0(REQUIRE r, :OS t>7..29 <br /> PRIMARY CONTACT: 0OWNER CONTRACTOR OTHER(Please Specify) <br /> 1 _ <br /> : CONTPLT NAME: . :rONTACT PHONE: (.. _(.3ks 1.391 £_.ci <br /> *F-11-pc1 \N 111 +-7 coOTAcr ENIALf r(311-1-O,Q.4-6SIAST Y-Y1 .11A-it)Y%05,071" 11 <br /> AGREEMENT'Thereby certify that/have read and examined this application and know the same to be true end correct. All proi)islons of laws and ordinances governing this 1 <br /> type of work will be completed whether specified herein or not. The granting of a permit does not presume to give author/6,M violate or cancel the provisions of any other state or i <br /> focal law regulating construction or the performance of construction. That am authorized by the owner of-this-property to-perform/he work for which application la macre enc!! <br /> comply with the State Contractors Law18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> . : P2_, %CDC <br /> ri <br /> PERMIT It 1 <br /> f t - E ‘ 6( 2 — e3 <br /> Nifrotru 'IAA; 1 2-I R 1 i (!) <br /> Die/nor/Authorized Agent I nature Date (Revised 10/12/2016) <br /> 1 <br />