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!LECTRIcAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERT_I I,WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 1(E)everetteps everettwa mov I imew,averethiva.govipermits <br /> PROJECT SITE INFIRMATIt <br /> PROJECT ADDRESS: "Z OA as- Plve6 GAite&TI-. t 9gtot <br /> BUILDING AREA(if residential,new construction,remodel,or addition) ,_ SF <br /> BUILDING TYPE: D SFR-DETACHED SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICA1.APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ S-037, Oa <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? D YES t.NO <br /> ASSOCIATED BUILDING PERMIT#(If applicable): j <br /> DESCRIPTION OF WORK: DC- rCjT C. &'r P(m€' C'4 te,47 . 53 S Sit ) <br /> CCHTAC`DONFORMATION <br /> OWNER NAME: L..1:54, ata TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: steer// rte O S r <br /> CITY C't+rc t' STATE ZIP 9 <br /> OWNER PHONE:( zj i , - ' 1S-1 OWNER EMAIL: ' tU 'o CVP^. <br /> -CONTRACTOR NAME: V44 Eft_1 7 f i c <br /> CONTRACTOR ADDRESS: STREET 12 4 64 - EL. <br /> CITY &NZ t...t>6"T'o) STATE 'U - zip <br /> CONTRACTOR PHONE: [ 3I g --fa iz.'t. CONTRACTOR EMAIL: 14 V'i440 - ,.C}6(ntrrL.. CoPi <br /> CONTRACTOR LLC,#kREQUIRED): \,114,4-$0,6641SS D I ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: (34.) 3 _ ,) <br /> -171 - f# i CONTACT EMAIL: --irt Livevp% <br /> AGREEMENT;•;!hereby toddy that r have reed and morainal this application end know the some to be true and correct. Al!provisions of laws and ordinances governing this type <br /> ofwork will be cowhether specified herein or not. The granting of a permit does not presrlme to give authority to violate or it,*provisions of any other state or <br /> local law regutadrrg adetruction or the performance of construction: That 1 am authorized by the oar of this property to perforin the work for which application,is made and! <br /> comply with the Stele Contractors Law 1827 ROW end 296200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> •, r� E os 5 <br /> OwnerlAuthoilzed Agent Signature Date (Revised 9/2312016) <br />