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ECTRICAL PERMIT AP�CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everetfinra.gov� www.everettwa.gov/permits <br /> __....___ <br /> �� .:� . �•: �/�\�-- ,�� F:__� ����� �ac ��,'� r � \ �'��.��\'�»�_ <br /> .• <br /> .., . • •. ._ . <br /> .. .�.. .�...�... _...`c. .. .,,�./,.. ..,,,,�...�...- -'�::� :-..�.,. .::.�.....,. .�:.� ,i�a%iE�., _� <br /> PROJECT ADDRESS: 3'rJO� COIby AV@ SUIt@ ZO� <br /> BUILDING AREA(if residential, new construction, remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: m COMMERCIAL <br /> USE OF BUILDING: �fflC@ <br /> � a a � ,� � � �� <br /> ������`� � � �:. y ;�.. <br /> �,�.�...... � .:: <br /> . ... � , <br /> , � ....... � �� �'�...,. ..�� �_ .� . �., . <br /> CONTRACT PRICE OF WO : $ 29,200.00 <br /> NUMBER OF DEVICES if I w volta e : <br /> FIRE ALARM? ❑Y � NO <br /> ASSOCIATED BUILDING PE licable : <br /> DESCRIPTION OF WORK: New lighting and outlets for layout. New 120v circuits added for additional load. <br /> s � � <br /> �..,v � : " �: _.�. "t����'���N�"� `�`���''� ���.r.. <br /> ��. , , � ti � � <br /> „ .,. . _ .. v�„r..�....�.�. _... � ,s.�.. -. . <br /> �.� <br /> OWNER NAME: TENANT NAME(If Commercial : <br /> OWNER MAILING ADDRESS: sTReer <br /> CITY � STATE � ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: W2St COaSt EI@CtPICaI S@PVIC@S <br /> CONTRACTOR ADDRESS: srReer�2527 MUI(IIt80 $p@2CIWay#�O3 <br /> c„,. Lynnwood STATE WA Zip 9�Q�7 <br /> CONTRACTOR PHONE: 425-322-3189 CONTRACTOR EMAIL: kyIB�G WC@IeCtC'ICS.COPTI <br /> CONTRACTOR LIC.#(REQUIRED): WeStCC@S97pq CITY OF EVERETT BUSINESS LIC.#(REQUI ��: 053544 <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-322-3189 <br /> Kyle Adams CONTACT EMAIL: {ryle@WCeIeCtPICS.00171 <br /> AGREEMENT.•1 hereby certily that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this type <br /> of work will be completed whether specified herein or not. The granting of a permit does not presume to give autirority to violate or cancel the provisions of any other state or <br /> local law regulating construction or fhe performance of construction. That 1 am authorized by the owner of this property to pertorm the work for which application is made and I <br /> comply with the State Confractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> ,��.�� E ��� � ��C� <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />