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Jun 051712:17p Ferrin Electric Inc 427 7746 p.5 <br /> 0477. ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320D CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 [ (E)everetteps@everettwa.gay I wwW.everettwa.gov/permits <br /> .. . . .... .... <br /> ]i. <br /> PROJECT ADDRESS:1 ` `� n J 1 <br /> _ <br /> 1 <br /> I <br /> BUILDING AREA(if residential, new construction,remodel,or addition). .3 D SF t <br /> F <br /> BUILDING TYPE: ❑SFR-DETACHED M SFR-ATTACHED 0 DUPLEX 'MULTI-FAMILY-#OF UNITS:_ 0 COMMERCIAL i <br /> USE OF BUILDING: �G1\.J r\ tithvit ! t <br /> •p; a.•:w'�' t:.iii": <br /> .. ...:.<,} a ._ ..:. ...�:+... +.,,y\........ .., <br /> T C•AE..APP.[sMCA. ,Et1VIATION::.:_...:....:.._.. <t�n;:'.:.. .. . <br /> CONTRACT PRICE OF WORK: -1 ) S O 04 O 0, 1 <br /> NUMBER OF DEVICES (if low voltage): i <br /> FIRE ALARM? ❑YES 0 NO R <br /> ASSOCIATED BUILDING PERMIT#(if applicable): t <br /> ,DESCRIPTION OF WORK: kA) 11'114- 1'1W A h <br /> r <br /> 4 <br /> l <br /> 6 <br /> ryy7F <br /> F <br /> 1 <br /> a ;.t <br /> S <br /> r ^s' >a�� <br /> ..o M . <br /> OWNER NAME; * .k' ' g ' ' gl N44, ..e LLL TENANT NAME If Commercial): i <br /> OWNER MAILING ADDRESS: STREET , 0 6\i _ `'M Al NV 1'1A - t� <br /> CITY ry LN`t. STATE "' aP 1C4,61+ - g, <br /> OWNER PHONE: LI 5 —) 5. d(,1%x 0 IOWNER EMAIL: <br /> `CONTRACTOR NAME: .-f r1y e. -t�_f 'C li <br /> CONTRACTOR ADDRESS: STREET '10 , ax 0, 0 r� (iS ,: <br /> CRY 1 s ti•d( /STAATi('� �;,,"�1 f 71P r' <br /> 4"11 5 CONTRACTOR EMAIL: 1440 4 {f r,ekC,.n L( cow% 11 <br /> CONTRACTOR PFfONE: xaC � � <br /> CONTRACTOR LIG.#(REQUIRED): -c�.f'V t f,i`i 39 K.1. " CITY OF EVERETT BUSINESS LIC.#(REQUJRED):©L 39 0 7 0 <br /> PRIMARY CONTACT: $TOWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: "k).5 5 o 01-7(0 g <br /> A t <br /> �' �) CONTACT EMAIL: 0,i ci A l�'V ..INNA-dx. ,r,t 14:, 1Co 1i <br /> AGREEMENT I hereby certify that I have read end examined this application and know the same to be true and correct All provisions efJavis end ordinances governing this type <br /> of work Mk 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 otherslafe or a <br /> local law regulating construction or the performance or construe= That I sin auihcdsed by the owner of this property to pen'orm the work for which application is made and I ' <br /> comply with the State Contractors Lew 16.27 RCW and 298.200 WAC. <br /> r <br /> ;t <br /> 0 <br /> t/ 5) J 7 City of Everett Official Use Only <br /> PERMIT# <br /> __• c-')‘\..._-, ....,...-----� <br /> EL, —OO i <br /> OwnerlAuthoriz.d gent Signature Dale ' (Revised 9/23/2016) <br />