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�L�CT�IG�L �'��il��� ��P�lG�T���1 <br /> � CITY OF EVERE I T PCRi�.,ll I SERVICES <br /> 3200 CEDAR STP.EET, EVERETT. �N;1 98201 <br /> (P) 425-257-8810 � �AX 425-�57-�857 � (Ej evereiieps@2vere'ttwa.gov � w�,wv.ever�fin�a.gov!permits <br /> PROJECT SITE 1�IFORMATlOP�1 <br /> PROJECT ADDP,ESS: `a��) Ly{��,,y /-�;`��;:.(-�7' S t�� (�� <br /> BUILDING AREA(iT residenti�l, ne�a cons[ruction. remodel. or addi[ion)_ SF <br /> BUILDING TYPE: ❑ SFR-0ETACHED ❑ SFR-ATTACHED ❑ DUPLt;< ❑ i�;iUL I I-FARAILY-;+Or UNITS: C�]CO��1NirRCIAL <br /> USE OF BUILDING: �Sal 5T[�rQ ,-G/���= <br /> , LECTRI�AL APPL.ICATION i?�iFOFZiVIAT1�D�1 <br /> CONTRACT PRICE OF WORK: � � k ,I.��� , <br /> � <br /> NUMBER OF DEVICES (if lo�rd�iolt8ge) <br /> FIRE ALARM? ❑ YES C�f}@''�� <br /> AS50CIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: �t�� �� ��Nv�ni�;:'I�VG�_ /����+=TS <br /> i� i� w ' l.�;,4, � Tt-f�2Dt<,�._ ' ur F✓f�,`,�' <br /> GOAJ7ACT I�+1FOF2tVIAT10P�1 <br /> OWNER NAME: �,�7-I'�� � W ENANT NAME(tf Commercial): S�me <br /> OVVNER MAILING ADDRESS: srRet_r �� �'J �' � I <br /> ����� r vi�,��rT sr;.�� �✓�4 <�P '�J b' �DI <br /> uv��r�E � of{c��F__�j a � " 53�� - (� `CU� �r�vr��=.�z E=��nAii MA.�l,�1�� T�_�c�fi�an�+.�w . v:^'� <br /> � <br /> CONTRACTOR NAIUIE: D��hl Elt'CtriC. Inc. <br /> CONTRACTOR ADDRESS: reE�� 3aO� MCDOUCJ�lII AVe <br /> �,,r, Everett sT.aTE WA ��P 982a,r_ <br /> � <br /> CONTRACTOR PNONE: '�7�-257_ 1700 CONTRACTOR EMAIL �SteV�nS�CJ2F1I2I2CtfIC.00f71 � <br /> coNTRacroR uc. r�REuu����; UAHLEElJ26QD cirv or EVEz�iT ausiNEss uc.�;,-:�uu�=:�o : 0370�-� � <br /> PRIMARY CONTACT: ❑ O`NNER � CONTRACTOR ❑ OTHER(Please Specif��)_ _ _ _�� <br /> CONTACT NAME: CONTACT PHONE: 3bQ-661-OS11 � <br /> Dan Stevens CONTACT EP�1AlL dSlevens(c�dahlelectric.com <br /> .AGREEP�IENT. I he�ehy ce�Fi"ry!ha(I have read and examined fhis app�ication and know Ihe same fo be true and cor2cL All provisions of laws and ordinances govem�ng fh�s fype <br /> of r�ork will be completed whether specii;ed here�n cr rol i`;a y�anGny o�a p2rmi(doas nof pr•�sume;o qi�ie authonty lc7 v�olate or cancel Ihe provisrons o/sn�ofhe�stata o� <br /> loc2l 1�s��reg�dating consfructien or!ha p�normance oi cons;�uc!ion. That I am aurho��zed by fhe ownar oI fh��property lo pe�lo�m rhe wo�F-io�which apphcaGon is made 2nd 1 <br /> comply�roifh fhe Stafe Cnntracfo�s Lasv tti�1 RCLV and`19ti_�00 LVAG <br /> Crty of Evere!1 Ofnr,i,�l USe Only <br /> PF���P;IIT ' <br /> -� , �, _ __ � I��I Z� �IZ� <br /> � � �l � ,�_ __ _.._�_�r__W_�� <br /> O�.vnariAuthorized Agent Signature Dale (�4ev�sed 9i3�/201ti) <br />