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04l06/2017 15 :39 #1973 P. 001/001 <br /> EL�CTRICAL PERMIT APP��AT�ON <br /> CITY 4F EVERETT PERMlT SERVIC�S ' <br /> �Z00 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 � FAX 42r25i-8857 (CE)ev�rettsps aQeveretlwa.gov� www.evere#twa.gov/pennits <br /> ���•� : � . .. � .�. . .� �:��RQ:�CCT`S#T�.INFQRM/lTlON,� �� � • ' . � : . <br /> PROJECTADARESS: o .S��a� tivE �to� <br /> BUILDING AREA(if re�itlentia�.new co�stre�c4on,perpodei,or adclitfoPs) SF <br /> BUILpING TYPE: �SFR-0ETACNED C7 SFR A7TIiCt1�p CI DUPR.EX L7 MULT!-FAMILY-#aF UNlTS: ❑COMAAER�IAL <br /> USE OF BtJ11.DiNG: /I�����L O k- <br /> � � � � . . � �i�.�C'TRlCAI.APPL.iCA"r"ION�INFORIII�ATION . . . � , <br /> CON7RACT PRICE OF WORK:s p(9'� <br /> NUM��R OF p�ViC�S if[aw volta e : <br /> FfRE ALARM? ❑ll�$ C7 NQ <br /> AS�OCIATEb BU�LDING PERMTf� !f a licab{e : <br /> D�SCRIP710N OF WORK: F 0 C. /�,,( °t�( �n( /L.� /fi1, <br /> � � � • � �O�TACT INFi1RMATtElN � � <br /> owNER Na�+E: L£C7`fU 0 7�ttVn�rr NAMe (f cornmerc�a�: <br /> OWNER WIIIJNG MpCt€SS: stt�r �1 C/ ,r4�5a cr�� �j��/ �.�Ua <br /> CtSY �� STATE ZIP <br /> AWN�R PHONE: Z OWNER EMAII.: <br /> CW�7'RACTAR NAM�: �� /C //l <br /> GONTRACT'OR ADDRESS: sT� '� <br /> GI7Y STiI'TE �p <br /> CONTRACTAR PHQNE: CONTRAC7OR�MAIL: <br /> COl�ftqCTQR LtC. R�QE,IIR�DI: I�� C[TY QF EYEREl7 BUSiN�SS UC•#{R�QUIR£D�: ��&�C'.� <br /> Pli�MARr CONTACT. (��WNER C3 CONiRACTOR �OTHER(Nleasa Specify) <br /> CQNTACT fAYQEt�,N�t'/ CONTAC'f'PHON�: yLS .2,3r <br /> �• 4• CONTAC�EMAiL: _ <br /> A3RF�MEN7:�►�mneDY o�t}�.that�hava eeao ana examfrad N�1s spy�eetlon�na wiow tnar sama to 6e hr�a�na conbct ANtwoNsaoras aJ�aw�s Fna o�r,��oas 9ore+nb+8 tArs qps <br /> oI�vk w�AO C�pbted wh�iar'apscqba!Aerrfn or not. 7Aa�of e perm#<be�s notpre�sumo!o�A'v a�?ho►+'ry fo vbGa(n a'aanost fhs prov�sia�s of enY ofl�ar a�ts or <br /> locslrawrv�+defb+g corre�tan or er,s�olconsbvctlar. nrat I em ermnor�+ea D,y ths owr,ero/MJs pruprory ro pedorm tha wwtr�brMrucl��t�on 7�m�ana r <br /> camlioly t�fh the Stee�f:nnt�a�wa lsw 18.2�RCW and 29820p WAG <br /> Cly of E�ry4relt Qfl"�ciel llse Or+Qr <br /> p�RMir� <br /> _ � �� � �-� � ��,� <br /> �N �sro�. <br /> (��n�sr1o�8� <br />