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�ECTRICAL PERMIT A�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov� www.everettwa.gov/permits <br /> : a ; ° ` P��,���'�`��`��i���M#!'X`I�l�` ,� <br /> ` � �' � <br /> PROJECT ADDRESS: l/-C <br /> BUILDING AREA(if residential, new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: �G � 'e- S'�G /� <br /> r <br /> � ��.�:�T�t�A�.APPL#��'�"�tf�����RN(A"�"'�+Q�': . .� .. , -.;-,... , <br /> CONTRACT PRICE OF WORK: $ ,�Q ., <br /> NUMBER OF DEVICES if low volta e): <br /> FIRE ALARM? ❑YES J�NO <br /> ASSOCIATED BUILDING PERMIT#(if ap licable): <br /> DESCRIPTION OF WORK: �-t �!, c ,�ff?/e,6riC�c S' Gri ri S t,� , ' <br /> � G� a S' <br /> , <br /> �a�"�►+�"�"i����NtA�"iQl� ,: <br /> , .. , ..< , <br /> OWNER NAME:S/(�p�� � ,i'G `�� L L TENANT NAME({f Commerciat : S 7`` �j G�f <br /> OWNER MAILING ADDRESS: STREET (� <br /> C1T1' ����C �/ STATE t�t� 4, ZIP /4 �G <br /> OWNER PHONE: ,z,S" S.2 "'S � OWNER EMAIL: <br /> ..._. _ .., .. :,. ,,. . . , ,. , .:.., : . . <br /> CONTRACTOR NAME: Q �7�"I"�'S �Sh �i� �/�i�2 <br /> CONTRACTOR ADDRESS: sTReeT �S�S— � �� v-t S L`' <br /> cirv Sh p jS STATE (,v t ziP 18'.2.� <br /> CONTRACTOR PHONE: �S;3 l/S'-0��� CONTRACTOR EMAlL: O/f"�"�S � /l/, �' <br /> CONTRACTOR LIC.#(REQUIRED): Q'' +7�y^,�C G G CITY OF EVERETT BUSINESS LIC.#(REQUIRED):C��SZ�.�Z <br /> . ... . . ..:.. . . .: ., : ,,:, :. .,...., .. ._ <br /> PRIMARY CONTACT; ❑OWNER �£ONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: ��.� �3l�S a �/� <br /> �j`� � q,. S CONTACT EMAIL: � r Q S ���/�Sy• CC <br /> AGREEMENT.�T hereby certify thaf!have read and examined this application and know the same to be frue and correct. AI!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 fo give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. Thaf 1 am authorized by the owner of this property to perform the work ior which application is made and l <br /> comply with the Stafe Contractors Law 98.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> ��� <br /> PERMIT# <br /> `� � � � � ! G� � � lVV 1'r���° <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />