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Dec 20 2016 06:19PM Bosch Electric Inc 425-377-8977 page 2 <br /> -- Aik <br /> ELECTRICAL PERMIT XIIPLICATION <br /> ."NIPP,--A,,,,, <br /> r,-,-!,. CITY OF EVERETT PERMIT SERVICES <br /> MidiliV 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 [ (E) everetteps@everettwa.gov j www.everettwa.gov/permits <br /> ... . . . i1_T�: <br /> ...... :� I:....-.. ON=' <br /> � TI .`: <br /> PROJECT ADDRESS: 6-'10 ! L p�.�Nl�b_ ` _ E Ev2.r ",�I' :WA ' ' 2, . . . • ...... . ....... <br /> BUILDING AREA(if residential, new construction,remodel,or addltlon) � SF <br /> BUILDING TYPE: IR SFR-DETACHED D SFR-ATTACHED D DUPLEX D MULTI-FAMILY-#OF UNITS: El COMMERCIAL <br /> USE OF BUILDING: tj'U'Clrh et 1-e p t <br /> AFIP. I NFO <br /> CONTRACT PRICE OF WORK:$ $00 _0O <br /> NUMBER OF DEVICES(If low voltage): • <br /> FIRE ALARM? D YES i7 NO >( <br /> ASSOCIATED BUILDING PERMIT#(if applicable): _ <br /> DESCRIPTION OF WORK: Over I SILL f(11^-f, pc le Inctial.wt hr) <br /> • <br /> : . ._. :.. .. • ::::: .1... .. .: .-000:1. CY:# CPQ, ,1 'rpt 0:f..:. • <br /> WNER NAIIA •4w,((.e. 4 JC YL'b t r- 0.4Z.- TENANT E(if Co ....: erc al) r . <br /> J Commercial): <br /> OWNER MAILING ADDRESS: STREET S�•''`j!Q) n� • <br /> .—._, <br /> CITY G Y • STATE w pQ 4 z' /U W 3 <br /> OWNER PHONE: <br /> O :-.»:....-:,.,.-.r.....:,..<.: .. 'OWNER EMAIL: <br /> corimACTOR NAME• _ cTQ I • I N 6 <br /> CONTRACTOR ADDRESS: smom PO1D83&)( 1( <br /> crnr �? V VriK STATE CAM ZIP 41 8 ZSIT <br /> CONTRACTOR PHONE: OA- 3 4 7 8 74,S ICON7RACTOR EMAIL: bOctittlecfricav‘Ce trt,Lf IA k, <br /> CONTRACTOR LIC. : - QU!RED} s0 Se Z' 3 et CITY OF EVERETT BUSINESS LIC.# - QUIRED: 0 a 71 <br /> PRIMARY CONTACT; El OWNER I4CONTRACTOR CI OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: Lf ZS;5 J 2,, 5,749 <br /> -rca M o n 1 S CONTACT EMAIL: <br /> AGREEMENT:T hereby certify that/have read end examined this epplicedion and know the seme to be Ina and correct.All visions of/awa and ordinances <br /> type of work will6a completed whethersoeollied herein ornoj The graanting of a paint does not �° governing stile <br /> local law regulating construction or theperfarrnance of construction presume his pr ertytop o violate wcancel icire provisions ofn Ismadeand! or <br /> comply with the State Contractors Law 18.2T RCW and 296.200 WAG at!am authorized by the owner of this property to perform the work application made and/ <br /> City ofEvemit Official Use Only <br /> FEE <br /> t-4-S . ..---- <br /> PERMIT# <br /> ,J-jz 46 E 't,( 2- kL <br /> Own tliortzed Agent ergnature Data <br /> . (Revised 122O5) <br />