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Jun 201707:17a Ferrin Electric Inc c 377746 p.5 <br /> 471:77 ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8610 I FAX 425-257.8857 I (E) everetteps@everettwa.gov I www.everettwa,gov/permits <br /> . ...:......:::..:. <br /> ON:, <br /> M ... <br /> =1NEOR <br /> ATI <br /> - 'S TE. <br /> :IE ,. <br /> PROJECT ADDRESS: —1 't i 0 T 1\\ -17- 1-€37: Lly Cr f <br /> BUILDING AREA(if residential, new construction, remodel, or addition) cUs SF <br /> BUILDING TYPE: 0 SFR-DETACHED )4 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: —Vy ;i.\\NIN,, <br /> .. ...... . : L: PPLICATIONIrIF...O.RifIATIDNa.`:: <:.::: ;`":: ' <br /> CONTRACT PRICE OF WORK: $ -1 i 1 U'j) ,i <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? D YES D NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: VI N.. ALVA i UN)r 1' uvA( <br /> tCON7,0AGT.:1NfE.OR16ATION, ., - <br /> OWNER NAME: 1 ,\It\`..1§-As b vi U-L TENANT�NAME`(i"f Commercial): <br /> OWNER MAILING ADDRESS: STREET 3,.�0 j�4 f k 1'1''1ki vV I�1 kik 1' /� <br /> GT Ev�'.`Y\, _ JS&ATE A)A MP Cl 'd 04 <br /> OWNER PHONE: 1'�''IS (\G3 DS CO OWNER EMAIL: <br /> CONTRACTOR NAME: cti 4\ CV t--VI's( <br /> 'CONTRACTOR ADDRESS: sTREer VI) .. ?}0 ' MAA `` �/f <br /> CIN TA t 1• (c t STATE V4 A `,, ZiP 1 �L}�6 <br /> CONTRACTOR PHONE:' )5' '3.1 6 g CONTRACTOR EMAIL. V ieV ct ir;),.1 eit tk-f1 C-lr 1(z t,ev-r <br /> CONTRACTOR LiC. (RE4UIRED): a C3 + CITY OF EVERETT BUSINESS LIC.#!(REQUIRED):O 3CI 0 7 <br /> ��(�;E,+ 4�1 . <br /> PRIMARY CONTACT: DOWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 14-6 S oi 6C0 <br /> /� 3 r <br /> NIti\ri ;Y.)ri ' ; CONTACT EMAIL: Ati11' 1,C4,11+ L it i1C-`tYl(.i LOA <br /> AGREEMENT:I hereby certify that/have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> of=kw!!!be completed whether specified herein or not. The granting of a permit does no!presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform The work for which application fs made and I <br /> comply with the Stele Contractors Law 18.27 RCW and 286.200 WAG. <br /> r% i <br /> - . City of Everett Official Use Only <br /> L-tai) il <br /> PERMIT* <br /> NG ''' CL- E r-40(to - k"*--( <br /> Owner/Authorized -•.ntSignature Date (Revised 9!23/2016) <br /> i <br /> , <br /> : <br />