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Aug 30 1711:40a Ferrin Electric Int flTH377746 10.6 <br /> 1 <br /> 071E77 ELECTRICAL PERMIT APPLICATION I <br /> CITY OF EVERETT PERMIT SERVICES j <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.gov/permits <br /> ;1` <br /> . <br /> . . ..:.::.. <br /> :w <br /> PROJECT ADDRESS: • s <br /> BUILDING AREA(If residential,new construction,remodel,or addi n) X%Cca SF f <br /> BUILDING TYPE: CI SFR-DETACHED 3SFRATTACHED r1t DU L )C 1:1MULTI-1= MILY-#OF UNITS: ©COMMERCIAL f <br /> USE OF BUILDING: -To\,)1\1\11\14.t( <br /> , <br /> g� C.T. .2'.;:#44:0:441i4 <br /> .r,�:..", " <br /> : <br /> P ii A� <br /> •CONTRACT PRICE OF WORK:$ t cu 0 ..vt <br /> / <br /> NUMBER OF DEVICES Of low voltage): / <br /> FIRE ALARM? D YES • EI NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: .1.-71 J� L'Ct1 I ' ?A( t r <br /> 1 <br /> Yic r:r."."' <br /> ... .,•_.!f..• :.4, .....:�.:':. a -•—. .,..:.. , '.?"::7-'..7:1: 0:'::.:1: 7;n: <br /> ,,... N RM •I <br /> -..,... ... � .A. . LIR., AT <br /> OWNER NAME: �1 i'i( ik L a S ','J-e•� 1 L LTENANT NAME If Commercial 0i' <br /> OWNER MAILING ADDRESS: men 13.4' 5 E i' j (V - } <br /> - <br /> cm, 664.- LA STATEV V A_ 7JP clc 4 1 <br /> \ <br /> OWNER PHONE: Li j Ort 63 . tV ,OWNER EMAIL: 11 II <br /> CONTRACTOR NAME: :t-i'-(i •1,\-vri.( <br /> CONTRACTOR ADDRESS: STREET TIO > q.AYA 1 LA <br /> ii <br /> E ` �,�\ SThTE EPlc 0( •I <br /> CONTRACTOR PHONE:r) ),j 331 63<5 CONTRACTOR EMAIL: i)�f1 f�--t- '{\; e+�,Q•tii'I A\pt( , c ) d <br /> CONTRACTOR LIG.#(REQUIRED); ki_rr i C 9391 ti CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 3" v <br /> PRIMARY CONTACT: 34OWNER CICONTRACTOR ©OTHER(Please Specify) j <br /> CONTACT NAME: CONTACT PHONE: 1-,6 �IS Cl. Cr11 tie <br /> \�I1 - N\� CONTACT EMAIL: e►lr1i'"► Cv' 'i�i i i'it C t_.C ' 1 <br /> AGREEMENT:I hereby certify Tat!have reed and examined this application and know the seine to be true and correct_ AN provisions of laws and ordinances g�ng this type i <br /> of work WTI 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 stale or ) <br /> local law regulating construction cr the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and 1 w <br /> comply with the Stale Contractors Law 18.27RCWend 295.200 WAG <br /> riCity of Everett Official Use Only ? <br /> 3 <br /> PERMfT# t <br /> _- E lig _ Z Y <br /> Owner/Authorized ••:nt Signature nate (Revised 8123/2016) <br /> 1 <br /> 1 <br />