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OLT LECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov l www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2 ftp Sfct}� � . 30:+c 2-0I Evu,t-f-t Wit <br /> BUILDING AREA(if residential, new construction, remodel, or addition) 2900 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: JZ COMMERCIAL <br /> USE OF BUILDING: (' <br /> h� s hroce ss,ru, <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ I <br /> NUMBER OF DEVICES (if low voltage): 2 5 NVP <br /> FIRE ALARM? 0 YES ❑ NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OFF WORK: 1/t}w)kifioy i4 Z NVR re�o.,(i� c(22v;Ge-s Aviittc-f-q '+"a 2" J P <br /> , j, I Kee c..,4,tn-as W Il hL c.,�,�fL+ W'ri,\ 60-5- ec,bf„ <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): 5(4/LE4- LSE Sowers ,LL <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE LII' <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: p Ive.A-t � /�v��VV/ ) <br /> 1(lun+ �m rb <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2' <br /> A ''''1111,1/ 71141CONTACT EMAIL: <br /> AGREEMENT:I hereby certify thI have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> 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 lam 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 /> PERMIT# <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />