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Jun 05 17 12:20p Ferrin Electric Inc 42 --(746 p.8 <br /> 1 <br /> 047 ELECTRICAL 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 [ (E) everetteps@everettwa.gov I www.everettwagov/permits <br /> MA.. N...'.:: <br /> TE.INF R - <br /> OtJ CT•.;�l. �1. <br /> PROJECT ADDRESS;i.Gik 5 Ao-rilAv E, 5E Lir}- Sf [ <br /> BUILDING AREA(if residential, new construction, remodel,or addition) 4�0( SF <br /> BUILDING TYPE: 0 SFR-DETACHED_X SFR-ATTACHED 0 DUPLEX •MULTI-FAMILY-#OF UNITS: D COMMERCIAL } <br /> .USE OF BUILDING: Tciti lh 11.0 v e <br /> -•.r:.�...........W'.: a... .,:..-. .i....,_..,-.,.. ..:: .S ^ `15'x:.,,if ;'IjV: .'t:^moi.M` <br /> L <br /> O >'I R ATI N <br /> TI N N -.O <br /> RPL OA �:. <br /> N{ <br /> TRI <br /> CAL'-::A I � 1111 <br /> CONTRACT PRICE OF WORK:$ ` 9,'I� 6 0 , C O, i <br /> NUMBER OF DEVICES (if low voltage): ! <br /> i <br /> FIRE ALARM? D YES In NO k <br /> ASSOCIATED BUILDING PERMIT#(if applicable): kt <br /> DESCRIPTION OF WORK: \A) ''l 41—C VI-tv4 " vv Y1 it f, <br /> i <br /> I <br /> i <br /> , x <br /> ,5 - - <br /> .i4: <br /> 5 _ <br /> - T <br /> ..O ON: <br /> O F <br /> C CT'IN A 1 <br /> - N� R <br /> OWNER NAME: 11( 01 �,► • f �jd•iiiivlrt'�Lit.TENANT NAME(If Commercial):+ li <br /> OWNER MAILING ADDRESS: smE„ I-fa.0S VAf C:44/0* ��'���I1 \A 6.3 , . j� <br /> ( <br /> CITY vV"'Pr' STATE V v A a 9 q(\6 4 <br /> OWNER PHONE: Us 01 53 r DOWNER EMAIL: 1) CD <br /> CONTRACTOR NAME: -e,-r "1,0 k• id 1_ 1 <br /> CONTRACTOR ADDRESS: SREE1O , thxsG[{g q <br /> cry rAlishste. . STATE ViviC� ZIP( CII I! <br /> CONTRACTOR PHONE:14:a S 373I 5 <br /> 5 ,CONTRACTOR EMAIL: r1q -Ftta\iAtte it CIYIL.CM l <br /> CONTRACTOR LIG.#(REQUIRED): -C i..Cr 1 1p93 9�� CITY OEVERETT BUSINESS LIC.#(REQUIRED):0-€.39 O <br /> 1. ,...._............. . ... .. ......- -. .. <br /> i <br /> PRIMARY CONTACT: DifOWNER 0 CONTRACTOR 0 OTHER(Please Specify) li <br /> CONT CT NAME: tr r n CONTACT PHONE: IIA 5/�5"o.g 0t 9--1 , <br /> Nem I'1 1 r ti CONTACT EMAIL: D1i i yj 3 E•• 1��,'l-c, i'G r.IYIC LCV 1N1 i <br /> AGREEMENT:I hereby certify that I have read end examined this application end know the same to be true end correct A!!provisions of laws and ordinances governing Iles type 5 <br /> of work will be completed whether speared herein ornot. 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 constnictlon or the penforrnance of construction. That I am euthorlred by the owner of this Property to pen'orm the work for which application is made end I y <br /> comp 'with the State Contractors Law 18.27 RCV/and 296.200 WAC. 1 <br /> I:' <br /> k <br /> :l 1 -7 <br /> City of Everett Official Use Only G <br /> 'cl,...______, <br /> PERMIT# I <br /> N. IE \qo� -- �s3 <br /> OwnerlAuthorl :d •gent Signature 'Dale t (Revised 9/23/2096) <br /> i <br />