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Jun 20 1707:17a Ferrin Electric Inc 4 77746 p.4 <br /> Oren' ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 426-257-8857 I (E) everetteps r©. everettwa.gov I wwvv.everettwa.govipermits <br /> , <br /> :.......:. <br /> F A•. <br /> PROJECT ADDRESS: . 0 :AC,, M.(., S€ CA. <br /> BUILDING AREA(if residential, new construction, remodel, or addition) 1% <br /> J 4n) SF <br /> BUILDING TYPE: 0 SFR-DETACHED jig SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: D COMMERCIAL <br /> USE OF BUILDING: 10\.7Ys\\\I, rv"!k.__ <br /> ''''.:::,f1: :A::':',-; .: K.• .:.,......:n : .E 4P:� CAL` ''P.:.PLl.CAT1ON'INE.O,RATA'ITIIDN . ....... ... .... .,.. ...._ <br /> CONTRACT PRICE OF WORK: $ / i C)0'VA <br /> NUMBER OF DEVICES (If low voltage): <br /> FIRE ALARM? ❑YES ❑NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: t•(\( Yd, 3 uJ r\ IVA( <br /> A( k <br /> ... .......... <br /> _CO TACT':INF;.:ORIVIATIQ[� ,;• . t <br /> ' i <br /> ` ` r <br /> OWNER NAME: P1 P 6 - W.5 c\-AS k1)�1 j C..TENAN�T�NAME(If Commercial): <br /> OWNER MAILING ADDRESS: CTI:esr 1.0..C� 'j�� �.„, / I' 1�`�1CJ 'W in y <br /> cnv Etl v14 E�'V STATA ZIPC14S4I ' <br /> OWNER PHONE: ti.1S 91 G3 a`'Ot) OWNER EMAIL: <br /> CONTRACTOR NAME: ctiV t ' , t1..A,i�'}'j( <br /> CONTRACTOR ADDRESS: miser t O 9,0-)X 13.�, g t\,I-�1 +� �} <br /> CR?Y r\1 (Niu STATE V• ✓\ aP1 V x <br /> CONTRACTOR PHONE:14d,5 I3 15& 5 CONTRACTOR EMAIL VI a , inn 1-i.V.tklI iM( , (,e l <br /> r /� I <br /> CONTRACTOR LIC.#(REQUIRED): f C;GI 4139 1tJ c CITY OF EVERETT BUSINESS U .#(REQUIRED):05301 V 1 <br /> PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4-a6 S 04% 0.4.--,0t.. 1 <br /> ik\c\v\ Ct, \YA CONTACT EMAIL: AW ( 4(-11 A ttet41)(.iy. ( 4(-V ) <br /> AGREEMENT.•I hereby certify that l have read and examined this application and know the same to be true and correct. All provisions offews and ordinances governing this type • <br /> of work will 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 other state or <br /> It <br /> focal law regulating construction or the performance of construction. That I am authorized by(ha owner of this property to perform the work for which application is made and I I <br /> comply with the Stele Contractors Law 1627 RCW and 256.200 WAG <br /> yy <br /> i' <br /> City of Everett Official Use Only ; <br /> tt 1 3,6 <br /> PERMIT# .. <br /> Ir -0 Co - l -3 1 <br /> OwnerlA utoorl zed)p.:=nt Signature Date (Revised 9/23/201E) i <br /> 11 1 <br /> i <br /> I <br />