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001111111°_ „-- ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE I I PERMIT SERVICES <br /> Norticrg.24.:- <br /> 3200 CEDAR STREET, EVERE I I, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwagov I www.everettwa.govipermits <br /> t 4 <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 6,500 hisee,Yri°0 .61(20.4 / ., <br /> /0 <br /> BUILDING AREA(If residental, new constniction,remodel or sedition) SF .„. <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS._ XOMMERCIAL ' <br /> USE OF BUILDING: 4e.,,ezA,421,,,,,,, 44.4 a ,t_4 1,,,,, <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 4-1..i 0 0 CI .. <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? DYES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: £ iji."/ .efe...- occ.„,,,,,,,.i, -19€4,7,..„4,75- 6.'"11-4es,„„ <br /> • ' 4° 44er iti- ieritir--, <br /> • " • .. <br /> CONTACT INFORMATION <br /> OWNER NAME: 4.117---ieceile -771-^ TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STfdEET 641. 00. frizeera It/ creipie , <br /> ,,, .,...„24Arg-4-i-- vt .. <br /> STATE LA <br /> OWNER PHONE114 106 ZA o -0 S I CO OWNER EMAIL: <br /> ,CONTRACTMNAME-RBI Flectric SerViCeITIC., <br /> CONTRACTOR ADDRESS: 11112 15th SINE <br /> Lake Stevens WA 98258 sTh1E DP <br /> 'CONTRACTOR PHONE:425-422-1744 CONTRACTOR EMAIL.:rriecksagrnaiLcom <br /> CONTRACTOR tiC.#(REXELES962N4 ,CITY OF EVERETT BUSINESS LIC.#048749 <br /> PRIMARY CONTACT: ofi OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME:Robin Riecks CONTACT PHONE:425-422-1744 <br /> CONTACT EMAIL:rnecks@gmail.com <br /> AGREEMENT T hereby certify that I haw?read and examined this application and know the same to be trite and coma Altperwisione of!awe and onknames governing This <br /> type of work will be completed whether specified herein or not The frenting or a;wind does not presume to give authority to irrigate or cancel the prowsions of any other state c <br /> local law regulating construction or the performance of construe:law That!am authorized by the owner of this property to perform the wont for which aton is made and i <br /> °ornery wiet the Siete Cmaraciors Law 18.27 RC?*end 296.200 WAG. <br /> Co o 31'Evemit Official Use Only <br /> FEE <br /> PERMIT* <br /> E ( 0 ; -(01 <br /> „ / <br /> . <br /> / eeile <br /> i i/ i • , . Z.--( <br /> Owner Authorized Agent Signet • Date dReerked 1(0212015) <br />