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Jun 051712:16p Ferrin Electric Inc 42 -7746 p.2 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9B201 <br /> (P)425-257-6610 j FAX 425-257-8857 I (E)everetteps@everettwa.gov j www.everettwa:govlpermits <br /> vY.: <br /> z��,: TE:-1N <br /> OJ. T. �. <br /> PROJECT ADDRESS: -1_ ,---) A« 1 iN E. J F r:-.4 <br /> BUILDING AREA(If residential,new construction,remodel,or addition) v C©' SF <br /> BUILDING TYPE: 0 SFR-DETACHED X SFR-ATTACHED Cl DU'LEX 'MU I-FAMILY-It OF UNITS: ©COMMERCIAL <br /> USE OF BUILDING: —T-0,....,i,„ }40 <br /> s y. i. PL T1�N�',IN .,iD[tlAll' ''TION,. ,{<:; <br /> C L.A MC:l4, �. ..:: ;:. <br /> CONTRACT PRICE OF WORK;$ ---)) S 0 0,; 0 0 <br /> NUMBER OF DEVICES (if low voltage • <br /> FIRE ALARM? ❑YES . 0 <br /> ASSOCIATED BUILDING PERMIT (if applicable): <br /> DESCRIPTION OF WORK: <br /> - 1 <br /> N` - <br /> - .O MAT10 - - <br /> F �v° <br /> .-,,: O 'CTI',N <br /> OWNER NAME: \t, , �i ')4-._ 1�c, ►u " La.TENANT NAME(If Commercial): li <br /> OWNER MAILING ADDRESS: STREET 0 SW 1J MAI` uJki •i <br /> crrr 44-ftek STATE WA! aP Mii—I 0.0 <br /> OWNER PHONE: `Tr.71 S 3 (O OWNER EMAIL: • ;i <br /> CONTRACTOR NAME: Vt-i‘Is t Y1 tf.ac i <br /> CONTRACTOR ADDRESS: STREET 10 S 4aX ) (S1(.14 l i <br /> ' CITYteSA I1 ( STATE `je C;11 ZiP Ci ) ii <br /> CONTRACTOR PHONE:'f.S 3'1'1 5 5 CONTRACTOR EMAIL: W -re 'a`nc ie ',()(la(. t VIA I! <br /> CONTRACTOR LIC•.#(REQUIRED}: CQ„!k'r Itj 931 WT CITY OF EVERETT BUSINESS LIC.#(REQUIRED) C C3i0-1 i li <br /> PRIMARY CONTACT: Sd•OWNER 0 CONTRACTOR El OTHER(Please Specify) !, <br /> II <br /> CONT CT NAME: CONTACT PHONE: 44 5 5 0 - 09' 7�(', , f r,\ CONTACT EMAIL: Ips,i et A 0 tr. tyvcitay,1.t tilr✓ ,Lf0 W\ I <br /> AGREEMEN1 f hereby certify that I have read and examined this application and know the same to be true and correct. Al!provisions of taws and ordinances governing this type 1 <br /> of work will be completed whetherspecified 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 few regulating construction or the performance of construction. That l am authorized by(ha owner of this property to perform the work for which application is made end i <br /> comply with the State Contractors Law la.27 ROW and 296.200 WAC. <br /> C <br /> I\___....N ,c1,11 ( / 5) j 7 City of Everett Official Use Only <br /> PERMIT# <br /> E nrp —n49-- <br /> ownerlAttthoriz d gent Signature Date (Revised9i 3,2016) zi <br />