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Jun 05 1712:16p Ferrin Electric Inc 1 42,7746 p.4 <br /> 4477 ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 (E) everetteps@everet(wa.gov 9 www.everettwa.govipermits <br /> I <br /> :PROJECT ADDRESS; l C\ 1 1 AO-ril AN E J E L CA L.% <br /> `BUILDING AREA Of residential, new construction,remodel,or addition) as 0 0 SF <br /> i <br /> BUILDING TYPE: 0 SFR-DETACHED igi SFR-ATTACHED 0 DUPL`EX 44.11ULTI-FAMILY-#OF UNITS: ©COMMERCIAL <br /> I <br /> T I\ r USE OF BUILDING: . \ F7)� <br /> ,. .`-T QNB` ::`s�'' `'r�;• <br /> ...._,..,.... .:.::,..........:..:. ...,.......... .:.,,..;,..,..:.:.,.:. � . ? ONS ...ORMA <br /> CONTRACT PRICE OF WORK:$ ..•., r-1 , S G 04; Off', <br /> NUMBER OF DEVICES (If low voltage): I <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicabiee: <br /> DESCRIPTION OF WORK: )\) , tni -t�L <br /> (1V'j1 Vq ilf; <br /> L <br /> ii <br /> F. <br /> 1 .f. 1 ' <br /> .Mtig <br /> AT. <br /> .O M ON: <br /> N AC`T: N M .. <br /> OWNER NAME: NIT _1-k4 1\ N:44.100LLL TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1 '4)% <br /> L V 5 V £1J'4 moat ki4A6 <br /> �� G 1 +Cj�V� 1 <br /> cm. c_4,-4-„pet-A- STATE V`�� <br /> �fPI ZIP D <br /> OWNER PHONE: 9 :1, 01t) OWNER EMAIL: • <br /> CONTRACTOR NAME: cit-r r t fl C.1C l,klrl l/„ li <br /> CONTRACTOR ADDRESS: STREET 10 , 4)oc 1, ,L,(3% J <br /> - Cr1Y t1V ` STATE \)t'l/ aP9S'O I '1 <br /> CONTRACTOR PHONE: , S 373'1 5 S S CONTRACTOR EMAIL: W4ff-N xtte et 't Ci47( .CP4 <br /> CONTRACTOR LIC.ii(REQUIRED): 4t('{'i- 93c 1`!T CITY OF EVERETT BUSINESS LIC.#(REQUIRED):O C --1 O 7 <br /> PRIMARY CONTACT: TOWNER 0 CONTRACTOR 0 OTHER(Please Specify) 1 <br /> CONT CT NAME: CONTACT PHONE: 1+4 5 5 Qg O9 �, <br /> `i, k— f i 1 V 1 CONTACT EMAIL: +Iii 6'�h `i ltA , 6 L i 1(IL L .OW\ , <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 whetherspecilied 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 ii <br /> rf <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this pro party to perform the work for which application is meoe end I [c <br /> comply with the Stale Contractors Law 18.27 FLOW and 296.200 WAC k <br /> rg <br /> C. <br /> 1 5) 1 I <br /> City of Everett Official Use Only <br /> PERMIT# <br /> --Nig ....._... fl.............._, <br /> = i-1-.— E n-OG w-0(49 i <br /> Owner1Authoriztigent Signature Date (Revised 9f23/20fE) <br />