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Jun 05 17 12:20p Ferrin Electric Inc 4259.JJ746 p.9 <br /> 4E7T 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 1 (E)everetteps@everettwa.gov 1 www.everettwa:govlpermits i <br /> .R� �.EO: SlT �INE ,..OR1VlA'1'i.[3N":::' .. . <br /> PROJECT ADDRESS: 1t)•.`� 3�'rni ..1 E SE L_ 5 5 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) 1. 0t 0 SF I. <br /> BUILDING TYPE: CI SFR-DETACHED Ptil SFR-ATTACHED O DUPLEX MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: —TOWN Rjlm, 1 <br /> .,_: z oar::. .:o�rin:. -io <br /> •:APPLICA N .i<N QT 1.�i ' <br /> ECTR �. ;,:< 1. <br /> CONTRACT PRICE OF WORK: $ 1 ) S 0 0; CG'', <br /> NUMBER OF DEVICES (if low volta@e): <br /> FIRE ALARM? El YES ❑NO <br /> ASSOCIATED BUILDING PERMIT ifi(if applicable; I <br /> DESCRIPTION OF WORK: \A,4 1414.., ft—e v J "+'ov4 Y1 h C•MAk_ <br /> li <br /> 0,1 1 <br /> :: NT �-1-.iNFORMA';I? ,O.N_ <br /> 1 CO • <br /> OWNER NAME: K1';S lit'•61.1_. Dokk( 44-.\1.I•L`TENANTNAME(IfCommercial)'- <br /> OWNER MAILING ADDRESS: STREET I a.C 5\V 6J •vv\i i ‘A°i <br /> CITY Eg4lisLtAkSTATE VV.41 ziP CI <br /> OWNER PHONE: S �OOWNER EMAIL: 3' <br /> { <br /> CONTRACTOR NAME: c -('r1Y\ C...'•C•1..+4) C �J <br /> CONTRACTOR ADDRESS: sTrteaT 10 S JO c)c I` ti L� <br /> GUY Mi t //// ��ff,,��'' cp rw' /��} � <br /> tlt(_A tifL STATE �jti/t/1 2IP i {: (� <br /> CONTRACTOR PHONE:i'a S '2 1 S s 5 CONTRACTOR EMAIL: 1 OYtQll't xdec n CI`(l(•come\ 7i <br /> CONTRACTOR LIC.#(REQUIRED); -Ge'a'r 1f.1939 Mk.- CITY OF EVERETT BUSINESS LIC.#(REQUIRED):QS `i 07 <br /> PRIMARY CONTACT: 1:er OWNER 0 CONTRACTOR El OTHER(Please Specify) I• <br /> CONT CT NAME: CONTACT PHONE: 44 5 5 C "� , <br /> CONTACT EMAIL: <br /> IA 1 All �—���11(1 COo ��s1���•!`f��'��C.�.C��11, rhC t�.L Wl t. <br /> AGREEMENT.'I hereby certify that I have read end examined this application end know the same to be true and correct. Alt provisions of laws and ordinances governhtg this type F <br /> of work will be completed whether specified herein or not. The granting or a permit does not presume to give authority to violate or cancel the provisions of any other stale or <br /> local law regulating construction or the performance of construction. That l am authorized by the owner of this property to perform the work for which application is made end 1 [I <br /> comply with the Stale Contractors Law l&27RCWanti 296.200 WAC_ <br /> f <br /> (1 5) ,r City of Everett Chola,Use Only <br /> ` - PERMIT I <br /> fl' -_______., jii;l1 E k 2-0Co — ©S4 b <br /> OwnerlAuthoriz:d •gent Signature r Date 1 (Revised 9x3/2016) c <br /> f <br />