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Jun 201707:18a Ferrin Electric In 477746 p.6 <br /> I <br /> ' 4rff7' ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> • <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I tno.w.everettwa.gov/perrnits i <br /> i <br /> ...:::.:.. <br /> PROJECT ADDRESS: 1'i i 3, 3,,b - � J . 1-44,--1 `1 t <br /> BUILDING AREA(if residential, new construction, remodel.or addition) 1cr(.1 SF <br /> BUILDING TYPE: ❑SFR-DETACHED SFR-ATTACHED 0 DUPLEX D MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL I <br /> USE OF BUILDING: —1CN-.A"\INi _ ! <br /> 1 <br /> EC CSL. PPLICA 1 N .ORM 1 ••��•"' <br /> CONTRACT PRICE OF WORK: $ l e D. ,r15-D <br /> NUMBER OF DEVICES (if low voltage): I <br /> FIRE ALARM? D YES 0 NO t <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: p`` c 4..' f'J 11 V (NM E <br /> ( <br /> i <br /> t <br /> 16 <br /> OWNER NAME: p\i i 4,z \k. Ms_ br.4%0 ,t 1 L-LLTENANT NAME(If Commercial): a <br /> OWNER MAILING ADDRESS: STREET I-10 5\4 Z1t `tr,\I v\1 hills: A )�� ! <br /> C rrY Eu „ATE-v.0 r�4'�1v.0 Zip 94‘),01-t h <br /> OWNER PHONE: ti .S C% 3 aei LVD OWNER EMAIL: <br /> r <br /> CONTRACTOR NAME: `(�y lY\ A}1 <br /> CONTRACTOR ADDRESS: STREET ?0 -. '9j0)( 1�,� q r 4 <br /> J�),5.3 <br /> Ceti STATE \'nr1A ZIP ,i O4). , <br /> CONTRACTOR PHONE:'-"] � 3.3`) 6-g 5 CONTRACTOR EMAIL]\UL i f'f`>>f1}i,4,�. Allay Ls COM CONTRACTOR LIC.#(REQUIRED): k `'C;E.--; °I 3 CI W c CITY OF EVERETT BUSINESS LIC.4/(REQUIRED}:05361 V <br /> 11 <br /> PRIMARY CONTACT: jOW'NER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: t6 S OS cO11 I. <br /> P C\ACONTACT EMAIL: �1 t' r �{ <br /> -4\i';tib 1 s i 6) t ti.t-V.1 I,CtIv)( t L(ivy.), - <br /> kGREE,WEMi I hereby certify that I have read and exemined this application and know the same to be true and correct. All provisions of taws and ordinances governing this type 4 <br /> of work will be completed whether specified herein or not. The grenlirg of a permit does not 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 lam authorized by the owner of this properly to perform the work for which application is made and I <br /> comply with fhe State Contractors Law 18.27 RCWand 296:200 WAC. <br /> ii <br /> I. <br /> l is <br /> ij <br /> ' City of Everett Official Use Only <br /> c)._________ - I )\. 11 I ';,......_, ( � PERMIT# <br /> N1146 / E k 90(0, — 1 9--5 I <br /> Owner/Authorized •••.ntS€gnature Date (Revised 9/23/2016) <br />