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LECTR9C L PERMIT A LICATION <br /> � <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 J FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PR 8, ECT SITE I FM- MATION' <br /> IONi; <br /> PROJECT ADDRESS: 3 21 ? ?Z oC ta, 'd ' et} -e L l Q 2 ( <br /> BUILDING AREA(if residential,new construction, remodel,or addition) S'a"C,p SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 D -LEX 0 MU - AMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: (;A -, _. .. <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 500 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES WINO S 1446 � dolt <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 617 en-- c9s) <br /> DESCRIPTION OF WORK: 'RL4JJ 1 C C-ZT l C j .. Pol.)dr . c c J ( 4,2j 6 <br /> - • <br /> . :ONTA T;INFORMATION.:;.._ -- <br /> OWNER NAME: L4 LRIC yvt..l7_ TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET V / -2 Rock Fee IeK 6 <br /> CITY eifecerr STATE 4- ZIP <br /> OWNER PHONE: 4-(8S-t-9V-/‘ —76?</ OWNER EMAIL: v M'i (I e r 3(,Z Z @ q vwc ( <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) ..9titrid OL,Wt'g <br /> CONTACT NAME: CONTACT PHONE: i.f 5,-el- 7 <br /> CONTACT EMAIL: jpl' &Cx�4 L7 44 LiE y C <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> type of work will be completed whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.206 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> ,.--Y PERMT##/J�/]\\ <br /> E l (A - ts-S3 <br /> Owner/Authorized Agent nprfe _ - Date (Revised 10/12/2015) <br />