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Aug 30 1711:38a Ferrin Electric Inr 1111377746 p.2 <br /> I <br /> 1 <br /> 477 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 J (E)everetteps@eVerettwa.gov i www.everettwa>gov/permits <br /> .. ... E h:s T �F� <br /> ,... „tom.. <br /> • ..:veil. �. .�•..S a.: .r ,- <br /> PROJECT ADDRESS: 1 O I 611-ii JJ St L( <br /> BUILDING AREA(if residential,new construction,remodel,or addition) <br /> i"--LAP.`--- <br /> BUILDINGc <br /> TYPE: 0 SFR-DETACHED SFR-ATTACHED 0 DUPLEX0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDINGr 1 (N.341.... ., , <br /> .u.Pi: .S•.•s_-.:r't!'nn/i:"�'-.::t X.}'-::.ir:..{':L�.a<K" f.<, p:M1.' �:`':��. <br /> :..._...,.��>..._4..t:...- __ � T. iCAZ�' :iR><..E+f+' 'T� =:�.>e::.!<r.:iF,,;.:r.•� :`,. <br /> . ,�,.,..W.,. � AlQ A,..,I.4, ':[NF �;M�MA'�'°ION � `t'3 <br /> CONTRACT PRICE OF WORK:$ 't CA) 0 , <br /> NUMBER OF DEVICES(If low voltage): <br /> FIRE ALARM? 0 YES D NO <br /> ASSOCIATED BUILDING PERMIT#qf applicable): <br /> DESCRIPTION OF WORK: \tV {g . ' .y-13 1 C`-.)r1 le. 0 LP 0 .. O 5 �'— <br /> g <br /> t <br /> 1 <br /> t <br /> 1 <br /> 1ON - <br /> OWNER NAME: ,1 1 1 '� s ,R.1 14 �.CTENANT NAME If Commercial):` YI <br /> '� <br /> OWNER MAILING ADDRESS: srmeEr i 0 W `� V\4 i ,I(rk1 <br /> OI1Y STATE <br /> OWNER PHONE: li•S..S el 63 aelst OWNER EMAIL: <br /> CONTRACTOR NAME: `S,{'I'1 .C...- 1�ykl.• 4'1.. <br /> CONTRACTOR ADDRESS: STREET r.0 , 1?9O I L k A (�[�1 <br /> � CITY 01V 1 ( � ii STATE V'� ZIP ,Y V ... <br /> CONTRACTOR PHONE: LL CONTRACTOR EMAIL: .Lr <br /> "T�J'': 3� J� �J � �`�°yrC��.ff iVi e.�Z�'ii�•'ay1C a�,Ll�cit ^r <br /> COONTRACTOR LIC.#(REQUIRED): ki-,ep Y�,l it 3 el w ' CITY Oe EVERETT BUSINESS LIC,#(REQUIRED):O 3' 0 / <br /> PRIMARY CONTACT: XOWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: -f-- Sp , cell( <br /> 1\1 E'\ '-(\p'n CONTACT EMAIL: O 4y) 6y) C 4 ,1 >`�.Z t\-41 Un( ,L ovvi <br /> AGREEMENT.'I hereby certify that I have read and examined this application and know the same to be true and correct Ali provisions of laws and onlfnances governing this type <br /> of work wIN be completed whether specified herein or not The granting of a permit does not presume to give authority lo violate or cancel the provisions of any other state or <br /> local law regulating constnrction or lire performance of construction. That i am authorized by the owner of this property fo perform the work for which application is made and I <br /> comply with the Stale Contractors Lew 18.27 RCW and 296.200 WAG <br /> I <br /> ii <br /> City of Everett Official Use Only <br /> • <br /> f:\‘—.. <br /> ''i M i ?) 0 ) )O--------- .."-I ‘ , <br /> PERMlT <br /> f <br /> E gig_ zc 3 <br /> Owner/Authorized •.:ntSignature bate (Revised 9/23/2016) f <br /> i <br /> i <br />