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0477 ELECTRICAL PERMIT Al `ICATIQIV <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT,WA 98201 <br /> (P) 425-257-8810 ; FAX 425-257-8857 I (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: //C.,"/ `"1 /9 A-v[- -SQL- 5v/-7-&7f y e'Fr fs" <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: rer'COMMERCIAL <br /> USE OF BUILDING: Re- <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 429d <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES �NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: /? a/ctfCn.-. -t- ,I (xi`—er tOe- LOC` k.c �J <br /> L & .L �vverotiy w) <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): Or"?e;(f y 40-0 PCJlY <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: LNL 2( fVw,fm-- L`YIL i'T Coit A2dae.4T1L/ SLG <br /> CONTRACTOR ADDRESS: STREET /63Dc J . ,V6 `jOO f (� <br /> CITY j l iv��U n STATE 04�V ZIP SS7 v <br /> CONTRACTOR PHONE: /p1-7y9'Jsv4' CONTRACTOR EMAIL: /j�7LL itti4�f �/L I►�1C LLG-Cdr"? <br /> CONTRACTOR LIC.#(REQUIRED): E-4./6 2 Gr4C 8:30 ,k 6' CITY OF EVERETT BUSINESS LIC.#(REQUIRED):OS-3377 <br /> PRIMARY CONTACT: 0 OWNER M CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 6/a-_7 y? <br /> f'YI/9.7"/f/G' v L 6-:-/4 4'� CONTACT EMAIL: ,4 y (_ G 6.4 f-, <br /> ,AGREEMENT:I hereby certify that I 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 I am 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 /> Cdy of Everett Official Use Only <br /> PERMIT# <br /> • <br /> „91 ,g.-- E «oI- I101 <br /> Owner/Authorized Agent Signature " Date (Revised 9/23/2016) <br />