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Jul 171709:07a Ferrin Electric Inn I 3377746 p.5 <br /> I l477 LI II II II <br /> 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 e@everettwa.gov J www.everettwa.gov/permits <br /> .... ..:.. <br /> ..:..:......::.: ... . .....,......,, P CT S�TE..1N1B4RM ; '.ON; -:"';: :°: : : :,:,�:.-., _. : ; "'.. :: <:. <br /> .... ... .......::.�;•.... � ..:. ... ...,.... err. <br /> PROJECT ADDRESS: 1 CP O W S �,., ' `1 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) %%(U SF I <br /> BUILDING TYPE: ❑SFR-DETACHED .l"'SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: 0\ ,i,1, UN-NC <br /> _.,..::_..:... ,::..., .....:;. ......:..:.. .W •E EGTRlCAL.,A,PLICATI.ON.. NFORIVI' TION' �.::-:: ;::`,:,.... <br /> . ...._. .. . <br /> t <br /> CONTRACT PRICE OF WORK:$ -1 i 0 i ,n <br /> NUMBER OF DEVICES (if low voltage): E <br /> FIRE ALARM? ❑YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#q applicable): e <br /> DESCRIPTION OF WORK: <br /> Niti iii, 1 Er )r\ V\ rvAt I <br /> I <br /> h <br /> g <br /> liD <br /> . .. : .:.:: <br /> •CONTAGTIN <br /> RV 'F' <br /> OWNER NAME: Ni le S\+iC ik.is bape..,li W„CTENANT NAME pf Commercial): <br /> OWNER MAILING ADDRESS: SWEET 1Ai l <br /> CITy +VVV l STATE")A ZIP C1 ;wit ii <br /> `'�G�3 a O OWNER EYIAIL: :i <br /> OWNER PHONE: ti)6li <br /> CONTRACTOR NAME: -1,`Nt\r\ Otk,'7v j i li <br /> CONTRACTOR ADDRESS: STREET 1 0 , j(1 I (.,G <br /> p <br /> CITY ( l� ( , STATE V• � ZIP��q t�4I F <br /> CONTRACTOR PRONE:L+c)5.33.J 5 S CONTRACTOR EMAtL1CZi.s, rp;,n eu dyi.c.mc, Lo <br /> • .1 'ii Q..; g <br /> CONTRACTOR LEC.#(REQUIRED): i C� Iv CITY OF EVERETT BUSINESS LIC.#(RECIUIRED): r-r3Cf� <br /> PRIMARY CONTACT: >OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 1+36 SS 05 `r e.70` ,� 1 f <br /> 0 Irl \n V' 1�� CONTACT EMAIL: Gj1lt�lr1 Et)4c•9r9 11�t to el'i ion- Ln( , J <br /> AGREEMENT:I hereby certify that J have read and examined this application and knew the same to be true and correct. All provisions of laws end ordinances governing this typo <br /> of work will be completed whether specified herein or not. The granting of a permsl does not presume to give authority to violate or cancel the provisions of any other state or <br /> focal law regulating construction or the performance of construction. Thet I am authorized by the owner of this property to perform the work for which application is made and t t <br /> comply with the Stale Contractors Law is 27RCW and 296.200 WAC. !> <br /> t <br /> t: <br /> f <br /> * City of Everett Official Use Only C' <br /> PERMIT# <br /> , )._________. <br /> .N\‘'t <br /> E ,f.)-o - - ta,4) <br /> Owner/Authorizednt5ic�neture ."-1/1 1 1 1 --) <br /> Date (Revised 9/25/2016) <br /> ) <br /> 'I <br />