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ELECTRiCAL PERMlT' APPLICATION <br /> C1TY OF EVERETT PERMiT SERVICES <br /> 3200 CEDAR S7REE7, EVERETT, WA 98201 <br /> (P)425-267-8810 � FAX 425-257-8857 � {E) everetteps@everettwa,gov� www,everettwa.gov/permits <br /> PR�JECT SITE INFORMATION ` <br /> PROJECT AbDRESS: 2902 H@Wltt AV@. Everett, WA <br /> BUILDING AREA(if residential,natv construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHEQ ❑SFR-ATTACHED � DUPLEX ❑MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: REta1� <br /> ELECTRICAL APPLICATlON INFORMATION ' - <br /> CONTRACT PRICE OF WORK: $ 2,246 <br /> IVUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES E�J NO <br /> ASS(7CIATE�BUILDING PERMIT# if a licable : <br /> oEscR�Prior[ oF woRK: Remove existing Floresent [ighting and install new L.ED lighting <br /> CONTACT INFORMATION <br /> OWNER NAME;Da Mana ement TENANT NAME{If Commercial�: Day WIC@I@SS <br /> OWMER MAILING ADDRESS: srRFEr 2502 Hewit Ave. <br /> �,n Everett STATE WA Z,P 98201 <br /> OWNER PHONE: 5Q3-5�9-8��O OWtJER EMAIL;Jf a�71G'S Q' daS/W11'8I2SS.00171 <br /> CONTRACTOl2 NAME: S1 IlS PIUS IC1C. <br /> CONTRACTORADDRESS: sTReeT766 Marine Dr. <br /> �,n Bellingham STATE WA Z,P 98225 <br /> CONTRACTOR PHONE: 36O-S71-7�F)rJ CONTRACTOR EMAIL: �err111t5@SIgC1SpIUSt1W.CQlII <br /> CONTRACTOR LIC.#(REQUIRED): EC S�GNSPIg�J�LW CITY OF EVERETT BUSINESS LIC.#(R[QUIftGb). ����� <br /> PRIMARY CONTAC7: ❑OWNER 0 CONTRACToR ❑O7HER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE. 360-6721-7165 <br /> Royce Sieving coNracr��na��.:p�rmits@signsplusnw.com <br /> AGREEkfENT.•1 hereby ceriify ihaf 1 have read and examined fhis appf.%cation and know the same to he We and conect. A1!provisions of laws and ordinances goveming fhis type <br /> of work wil!be mmpleted whether spec�ed herern or not. The granting of a pem�it dces not p�esun�a to grvo authaity to violafe or cance!the provisions of arty ofher state or <br /> focallasi regu/aling const�uction orlhe performance ofconstruciion. 7hat!ant aufhonzed by fhe ovmer ollhis p�openy to perfonn the vroric!or whlch applrcation is made and i <br /> comp7y s�dfh ihe Stafe Conlractors Law 18.27 RCW arrd 29&.200 WqC. <br /> � � �� <br /> � � <br /> City of EVerett OHiciai Use Only <br /> PERMiT# <br /> � ��„S' �/S ,�- � E � �-�;' L� � " �� U <br /> � merlAuthorized A n Signature �ate (Rovised 9/23/20i6J <br />