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4zerrIPLECTRICAL PERMIT ALICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:Cb3`-1 " S�'1 StA) • •ve �,90 -C-�.` - -� P- ���.3 <br /> BUILDING AREA(if residential,new construction," remodel,or addition) y' SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: CQMMERCIAL <br /> USE OF BUILDING: , S� <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ lQlb`0 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Az:60\4\LN Ir6.M j 1r14.7t ane <br /> QA)\-( G e-'.0c(LcU --cam- vNW64R..w, ULf V of r o v ►�I <br /> S'Cl` <br /> CONTACT INFORMATION <br /> OWNER NAME.,�`�f _ TENANT NAME(If Commercial)\1 L} C'R 1 <br /> OWNER MAILING ADDRESS: sTREEr463 C k �- SW SA- f.e \�` S �� <br /> c-Y Jr STATE \AZIP/V�1� 3 <br /> OWNER PHONE: -Nabs-St-in--j(-1't 4 OWNER EMAIL ^ ` <br /> ��11f1s���(/.ir <br /> C�'' li�,'1'‘1l,,iy'11IsrLi. <br /> CONTRACTOR NAME: R NA.A- <br /> CONTRACTOR ADDRESS: sTREE \t 7' '2J‘14:71\•,)6. <br /> crry STATE wA- ZIP <br /> CONTRACTOR PHONE: -)S- 33\ p LQ CONTRACTOR EMAIL: SAAA-NrnOc5C(,4_, 111)rn_(_b�► <br /> CONTRACTOR LIC.#(REQUIRED).r ROAcee t...CD,,VAQ CITY OF EVERETT BUSINESS LIC.#(REQUIRED L\ L( <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: '-has. ,_ (Q <br /> �C,V 1.St ' \�4 %>(2 » CONTACT EMAIL: -,,v.rA taD/ ,(Axe) <br /> AGREEMENT:T hereby certify that!have read and examined this application and know the same to be true and correct. Ali 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!am authorized by the owner of this property to perform the work for which application is made and! <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 4 . L4o0 <br /> PERMIT# <br /> E 05- 1 (k <br />