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ELEGTRlCAL PERMIT APP�.I�ATIC?N <br /> C1TY OF EVERETT PERMIT SERVICES <br /> 320� CEDAR STREET, EVERETT, WA 982(31 <br /> (P)4�2�-257-881� � F;�?C 42�-257-8857 � (E) evecekEeps��verettv�a.gov f www.ev�retiwa.gavtpermi�s <br /> ,. <br /> E���� � <br /> ����. <br /> r��c�,��c�r�����ss: 23�►fl I�as�h Park Rd <br /> BUILDING AF2EA(if residen#is6,new consiruction, remociel,or addition}�6� SF <br /> BUiLD1NC�71'PE: ❑ 5FR-CIETACNED CI 8FR- HED ❑ E3UPLEX CI MUtTI-FAMiLY-#OF UNITS: �Zl COMMERC1Al. <br /> us�e��aui�a�n��: Wastewater tre tfnent <br /> �'.. <br /> �3:: <br /> CC}NTRACT PR[CE t��WC3R ; $ 15,5{}0.�0 <br /> NlOii�BER i�F DEVICES if in volta e : ' <br /> �tFi��iLAFtNf? CI YE �ZI <br /> A�SC}GIATEC� BUIL.E�ENG FE IT# ' fic,ab[e : <br /> C���Gt��pz'et�ht t��'uvo��t: Instal! new v�riring for new wastew�ter e ui�rnent. <br /> ,�. °R, �� � � ��� ����� � <br /> �3u4t�J��a�:an��; Commur,ity T�ar�s"r# TENANT NiANI� If Commerai�l: CGttt�tllUCilhf TI"��t51t <br /> o�mv���z nn���.����a���Ess: s�R�ET 710� �i�rdeson Road <br /> ciTr �V�'r�'� srnr� �A z:a 9$203 <br /> C�v+t�t�R Pt�ot�E: 42S 34$ 7104 OWNEi2 EMAIE.. <br /> �C}NTRACTOR NAME: ANM EIBCtrIC, (nc. <br /> GC}NTRAC70R ADDRESS: srR��T 8810 172nd Ave NE <br /> L�n Redmon� sTAT� WA �:P 98a52 <br /> COt�TRACTt7R PHONE: 425$69 7195 CONTRACTaR EMAiL: ��1drf'W �t1iTt£�@Cti"IC.C{�t�'t <br /> c�r���cvc���.ic.#���r�ur���: AI��JIELi'"��SLT +�l1`Y C3F EVERETT BUSINESS LI�.�{F2�Q��RED): Q55454 <br /> ����a��r c��-rs�c�: D c�w��� �ct�t��`�c-rc�� C]��r���t t��eas�s��) <br /> ct���racT r��a�nE: ct�r�T�cT P�t3��. 42� 864 72�5 <br /> }'�rt�revuu ���rl�e con�Tac�r���r�,:andrew�anrr►el�ctric.eom <br /> R�F?�EMENT:t trera6y canify that t hnve resti a�tt1��min�d fhis appfication ar�d know the same to be true a»d corrsct. AJt pravrsrons of t�ws�nd ordinances gover»ing lhrs type <br /> tti avt�rk witt be cam pJeted whether specif�ed hereln ar nof. The gr�nting of a pemrit daes not pr�surrra ta give autrsority to vrolate w canced fhe pravisieuas of any other st�te or <br /> local taw regulafing canstruction ar tha perfarrttxnCe or`canstructaon, That t am auihwlzed by the awner of th/a ptaperty to pedorm 3he wark for which apptication 1s mad�and i <br /> ��FrrRiy wi#h,tha State Caatractors Law i8.27 RGW and 296.20t3 WAC. <br /> GifyofEu�teff Offtcr'al CJse�}nty <br /> .......�.....�... <br /> PEf2MIT# <br /> �.. . t � E Y�� l- ZC�� <br /> OwnerfAuthorized Age�t Sig ature Da {Revised g12312018) <br />