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Jul 28 17 12:36p Ferrin Electric Ir— 3377746 p.3 <br /> 4677— ELECTRICAL 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 I (E)everetteps@everettwa.gov I www.everettwa.govlpermits k <br /> .: „�,...R� •QNB;_":'`,''.� 1;':`:;�'�: ' .:.:: ':::.:"::•:: :::::•.--::.::: :,..-,..-,:i:::-:;?:::.,:,:-!: ._�.: : `:;:•;,: <br /> • <br /> ... �. :.. :,:.:': .IPI�OJ,�GT:::$1(TIE �Id .0.. 11�1.�1T1 <br /> PROJECT ADDRESS: 1 C•11 } C41.1L A G-7 <br /> BUILDING AREA(if residential, new construction, remodel,or addition) %Cl. SF <br /> BUILDING TYPE: ❑SFR-DETACHED jit SFR-ATTACHED CI DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: <\ 0444 t <br /> I*GT,RICAL:A :.PL(C TI. -IN :O0MAT O.N ,f<1, ' : ;,A`<;'4:;:''t:;:' <br /> CONTRACT PRICE OF WORK:$ 1 i S V IL L <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES El NO <br /> I <br /> # <br /> ASSOCIATED BUILDING PERMIT if applicable): <br /> DESCRIPTION OF WORK'. A . 1 'mss 1 COr VitANIV, I <br /> E <br /> a <br /> P. <br /> k <br /> S <br /> i <br /> 1. <br /> ,. O TACT. N O A'I' ON .:: .. :. < ., <br /> OWNER NAME: Nil Q}D N't ik)5 S, .)-,1 t LL <br /> { (TENANT NAME pf Commercial): 11 <br /> OWNER MAILING ADDRESS: srnEe-r i 0 5 E..n.ir 40 62,`` 3 <br /> Crrr 6`'' S,ATMl A ZiP 94; L`L <br /> OWNER PHONE: I' )+J el 3 :; ,<- D OWNER EMAIL: ijj <br /> CONTRACTOR NAME: V"'(,'f y " ' k-- --,f'' I , <br /> CONTRACTOR ADDRESS: smear TO ., )0)( 1.U-,.% 1 <br /> CITY Kt 1V C STATE it a o, ZIP Flq PISI <br /> t' .&3 <br /> ? ii^ I: <br /> CONTRACTOR PHONE:MX, 331 5 3`t CONTRACTOR EMAIL 2 f 4 y/ cc,..1,^a,jr.�,;' r;C14'\( ,f,riv, ,t <br /> CONTRACTOR LIC.((REQUIRED): c-C,.,{'(^;�i �'r�3 9 N c CITY OF EVERETT BUSINESS LIC.#(REQu1RED):Q53�ti L"7 R <br /> PRIMARY CONTACT: OWNER 0 CONTRACTOR C/OTHER(Please Specify) LfIi, <br /> .1.,; <br /> CONTACT NAME: CONTACT PHONE: S S CC l <br /> NOVI\ +'l i N' CONTACT EMAIL: 1 <br /> +°til �v ► �.�i� ,y''~'3 d.. 1 .�nri g <br /> AGREEMENT/herebycertlty that I have mad and examined this application and know the same to be true and con-eat All provisions of laws and ordinances governing this type <br /> 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 reguleting construction or the petforrnance of construction. That I am authorized by the owner of this property to perform the work for which application is made and 1 <br /> comply with the Sale Contractors Law 18.27 RCW and 296.200 WAC. pi <br /> r\s„. <br /> 1 <br /> ------ ----.:I <br /> Ciry#of Everett Official Use Only <br /> i. <br /> E <br /> 0 —7) tIr ) PERMIT <br /> OwneriAuthorized nt ) �Signature Date (Revised 9123/2016) 't' <br /> 1 <br />