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'kLECTRICAL PERMIT APPLICATION <br /> �--� -- - CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:K30 6.044 $ c.7 v <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 0,1C-tr..),G8 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES J NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): / 1 ,/,,�� <br /> DESCRIPTION OF WORK: big.°v0H` /bYk'(r-re �Cv - w.f' ,QI,i �W 1, !I'��5/ <br /> Wim, W volt A-,`r e›171121-053(9,r/24 ? .� swL S r b1 fs <br /> CONTACT INFORMATION. <br /> OWNER NAME: TENANT NAME(If Commercial): e�{rl (4' Pea'(t� <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Cla-rk f G-: LAG ► / G <br /> CONTRACTOR ADDRESS: STREET 7 ® 1 AA/ <br /> ,V f //,/� (/Q�(J� <br /> CITY 5b141.hi"Pt STATE v" `/ ZIP few(v <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): CLA- 2J f 0' CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 6"� <br /> ................:_,__..:.:..: t_..._,.. .-�:.,.,... ,... ,_..>. .., x..w ,. .hr_., ,.. <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 1j95 7( ' few`- <br /> ll GC CONTACT EMAIL: <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 lam 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 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 0 °a <br /> PERMIT# <br /> HO-2air E1 0 ( 13 <br /> wner/Authorized Agent Signature Date (Revised 10/12/2015) <br />