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Jun 20 1707:19a Ferrin Electric Inc 4- 77746 p.7 <br /> I <br /> I <br /> f <br /> i <br /> 4E77 ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320D CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 I (E)everetteps©everettwa.gov I wonvv.everettwa.gov/permits <br /> S TE'1 AOR ATIO :::.:::^.....:.:t_. <br /> PROJECT ADDRESS: 9 i I a OTh �t _, <br /> t� I <br /> BUILDING AREA(if residential, new construction,remodel, or addition) �J Lc SF f <br /> BUILDING TYPE: 0 SFR-DETACHED XSFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: -1-iN-1 1 <br /> ::::.•-•:a-::.!:.:.:.; ,..,, <br /> :LICATION`::INFtikAifATION''�.°: .,:;,''::;'6:':' <br /> • <br /> CONTRACT PRICE OF WORK:$ )>•E U}i IR t <br /> i <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 10 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 1 <br /> DESCRIPTION OF WORK: r) ilik .X.; II y'.)r htNAC _ <br /> i <br /> 1 <br /> .:' .. ::::: ''',,:';'' ':';'_'.t,';:: :::::::;:::'.: <br /> OWNER NAME: 1\1p i NiL lki J � Doll qa-A.q-A. L ILTENANT NAME(If gCommercial): i <br /> OWNER MAILING ADDRESS: smear r3.�� ')\iv , AAn/c\ V' 1111 V v 1!1Iii ii <br /> CITY l....Vv , E� <br /> sTAT + A - DP C 01..1 <br /> OWNER PHONE: 111 ,..6 Ll G3 $$t D OWNER EMAIL: <br /> CONTRACTOR NAME: '•(,- y t\ ,lk{„' ,j'j( kp <br /> CONTRACTOR ADDRESS: STREET tr0 0 I m,4,tq `` t 1r <br /> �1 CITY ., . ('•'L\&. STATE y4 `_ ZIP iq, 041 <br /> CONTRACTOR PHONE:'-J �j s-3 1 S-3 j5 CONTRACTOR EMAIL 11 U( G ii''n{+,k .r1(.`iv,( g(.,Ll\rfY) <br /> CONTRACTOR LIC.#(REQUIRED): -\�X'C t C.; (13 61 c CITY OF EVERETT BUSINESS LIC.#(REQUIRED):OS3C't O- <br /> t <br /> PRIMARY CONTACT: )OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 1-065 0 Cy(All" i <br /> t\\C\Y\NAME:. <br /> ) CONTACT EMAIL: OVA A) c(,,iiI L.(it441 3Yi(. (tvri <br /> ti <br /> AGREEMENT•I hereby certify that I have read and examined this application and know the sante to be true end correct. All provisions of laws 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 orcancei the provisions of any other state or <br /> focal law regulating constriction or the performance of construction. That!am authorized by the owner of this property to perform the work for which application is made and 1 <br /> comply with the Stale Contractors Law 18.27 ROW and 296.200 WAC. <br /> I. <br /> . City of Everett Official Use Only <br /> r <br /> ll 1 PERMIT# <br /> Nk.-1' — '" 0---- Cy) l- j <br /> eE <br /> 9-0L ,-- V- -- . ,, <br /> Owner/Authorizedl�4••nt Signature Date (Revised 6/23/2016) <br /> \\ t <br /> i'. <br /> i <br />