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•i0W,-- 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 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> P-140400T SITE NFootviATioNI <br /> 2 rt <br /> PROJECT ADDRESS: e$$;;:#.701"C, etOga4 <br /> ‘„, oe-. <br /> - <br /> BUILDING AREA fif reslcientlal,new construction remodel or addition) SF <br /> BUILDING TYPE: ,•'7 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING; _ <br /> 1''':ri:: ''''Y'' ''''''''''''' '"'A-)..7 .", ''ELtet-4 xklY. .1.J ICAti 44g Pi""'';* <br /> CONTRACT PRICE OF WORK: $ 0 ,°c) <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES ANC) <br /> ASSOCIATED BUILDING PERMIT# If so,i tofable <br /> „DESCRIPTION,OFillitORK:, ,,,,,,,;-..eil• to. e 0 ..,., ##• _ ...1 , -14:4- • • <br /> _ ..._.:. <br /> (.....T <br /> f <br /> ,ril.. <br /> OWNER NAME: TENANT NAME Of Commerce} <br /> %11L4, II <br /> OWNER MAILING ADDRESS:. STREET 014, I .40 41 4,40., lit eo <br /> OWNER PHONE: ' -211/"iffis,' 4,. OWNER EMAIL: <br /> CONTRACTOR NAME: Aut A <br /> ,,,, <br /> CONTRACTOR ADDRESS: STREET 14I óQc 4%! <br /> à ' A- . C1ZIP :it' 20 <br /> CITY .„.4 S <br /> 4. 4 . TATE <br /> ... <br /> CONTRACTOR PHONE , t..,..0 svriP 0 0, 6 CONTRACTOR MA1L OthA24 e <br /> tete5:X-ii01.9 a)04 <br /> - CONTRA to- 4 . : 'ECKitReDiarl ' elYtektirlt# . CITY OF EVERETT BUSINESS LIC #(REQUIRED) I 0 0 -itaili <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: COtiTACT PHONE. 6 95q D <br /> , <br /> ) e_eicifelte CONTACT EMAIL: . - ''.. - ' : i Vital) of,ort) <br /> 46 Al' $ • —11,...t , , ' <br /> AGREEMENT:thereby certify that have read and examined this application and know the same to be true and 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 or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That lam 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 18.27RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> ' PERMIT# <br /> 0:1124, s'io , , , E 0 <br /> Ovono#Auttiorized Agent Signatura Date • (Revised 9/23/2016) <br />