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ELECTRICAL PERMIT APPLICATION <br /> !�►' �:, CITY 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 ADDRESS: Ms R1v1:A.SsoE Rvgs� <br /> BUILDING AREA(if residential,new construction,remodel,or addition) 200.000 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: E]COMMERCIAL <br /> USE OF BUILDING: w,q%)VPAe-TVILrpiG. <br /> CONTRACT PRICE OF WORK: $ 33,4200 'DP-- <br /> NUMBER OF DEVICES(if low voltage): 1(0i-( <br /> • FIRE ALARM? ---`9 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: )NSTAt t. RbCR.1-SSABt t. Pttz AtJaitw+ 4vs?E.Ni <br /> OWNER NAME: ZNAT TENANT NAME(If Commercial): ZNAT <br /> OWNER MAILING ADDRESS: STREET 4f5" RtvieR.S1C4. RoAP <br /> CITY gVt1¢,S frr STATE wA zip 9820 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: f3 48 P . Amo S1-v1L1Ty,LLC_ <br /> CONTRACTOR ADDRESS: STREET P0 box 3"7I <br /> CITY Afl-I N)G.-TDIJ STATE .,.1A ZIP ele22- <br /> CONTRACTOR PHONE: 4Z4". 2414 I < CONTRACTOR EMAIL: S8F1: Q 4401(24.. • <br /> CONTRACTOR LIC.#(REQUIRED): ES11frit_H Pf3ifiK t,J CITY OF EVERETT BUSINESS LIC.#(REQUIRED):oSS(/q <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: X24' 794 A/Mc <br /> SSFF afloWVI..1r) CONTACT EMAIL: S 'F ca �JN)rtft£ c.c.1^'N <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 /> VIS'. <br /> PERMIT# <br /> 12.141'7 E 12_ 03' <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />