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LLECTRICAL PERMIT AP ICATION <br /> "IPie%1CITY OF EVERETT PERMIT SERVICES <br /> �� 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2,.,'Z-C) ii /00,7-113 51/1/41 <br /> BUILDING AREA(if residential, new construction,remodel,or addition) gc/!U SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 2OMMERCIAL <br /> USE OF BUILDING: 14, <br /> w <br /> ICAL A LICATION INFORMATION <br /> .....ELE:r <br /> CONTRACT PRICE OF WOR .$ //,')coa v , <br /> NUMBER OF DEVICES (if low vo lagej <br /> FIRE ALARM? 0 YES XNO <br /> ASSOCIATED BUILDING PERMIT#(if r applicable):l <br /> DESCRIPTION OF WORK: ::T-J/5"1-62. i L V ice/ . C.Mc,fl abI 147 <br /> CONTACT INFORMATION _ <br /> OWNER NAME: UPr��J-ENANT NAME(If Commercial): Ai' S 5 CSS <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: /tee, rel ie , I OfJ <br /> CONTRACTOR ADDRESS: STREET ?e? gax "7 J <br /> CITY WI(n 16;TPA STATE ti,-**) ZIP 98~2.75- <br /> CONTRACTOR <br /> '8 7CONTRACTOR PHONE: 4'Z4 55'f 2.7 6-0 CONTRACTOR EMAIL: fO d/7C%5 Cl `e< (40 <br /> CONTRACTOR LIC.#(REQUIRED) C 15 T G.C. d �'7�' CITY OF EVERETT BUSINESS LIC # UIRED)02(p b <br /> PRIMARY CONTACT: ❑OWNER B CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 21){p 2SS" IX 7 7y <br /> C r tSlil etArG y CONTACT EMAIL: <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> type 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 /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> oils.,rp i 0///k E \( o9 - \S` <br /> Owner/Authorized Agen Signature Date (Revised 10/12/2015) <br />