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/02925-.2sv z oe)/6a3J9, <br /> • <br /> ELECTRICAL PERMIT APPLICATION <br /> /11P/At. "--:4CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 ( (E)everetteps@everet€wa.gov I www.everettwa.gov/permits <br /> 00 iiY°,: ,11•ARM`�'l 1: <br /> .-.•:.�..'�..:}:.'i„J:,•.J- 4c26— <br /> ' ': ' •'' s• ..}�•l 4}:, ..SWC:, y .PROJECT ADDRESS: , 4Jj /�/-J/ <br /> BUILDING AREA(If residential,new construction,remodel,or a dition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 JTFACHED 0 DUPLEX Cf MULTI-FAMILY 41 OF UNITS: IA COMMERCIAL <br /> USE OF BUILDING: EV ' j • <br /> i�;Fj:.J �f1'J •.7f:• tP+. aw.- .:i-. - ..t....}2^,�.::_.I,,.--.- -ar':JY.<•l:\'Q°:,v::;•r..r;li,`-� � 1 <br /> 9TR1L iLAPp1L1CJ .O��ryy_X r9RM".,TAON ::�`.: <br /> V',�:�t ...e[..n-.......: i.............. _:1�..•.t.t:��`.e:.S.J.v.9vi at,\R.a:a ti4..\.•0 V'....:I�i•.•4.t:+ta!•..d..4.r. i... S♦ 4V.4'. .�J.nv .»c.t'�..st\ _�a.:1a4'.�.�...f"'. .�1.-..4G.la....r. .. !'..;t4..�4 fVf�� <br /> CONTRACT PRICE OF WORK:$ 5 .3 7 <br /> NUMBER OF DEVICES(if low vpItage): <br /> FIRE ALARM? ❑YES NINO <br /> ASSOCIATED BUILDING PERMIT ° -•• able): <br /> ly:,���, <br /> DESCRIPTION OF WORK: dk,/ _ Q�/ / / / A / ..J <br /> '1W 4e / it 11J71 3111/13 /` • . <br /> • <br /> • <br /> COIy TACT INFORMAT101+l: :� <br /> OWNER NAME: TENANT NAME(if Commercial): BCE/a06 <br /> OWNER MAILING ADDRESS: smear PQ & ( 3707 <br /> crrY `.fir E-MT'G�— STATE VI- ZI g/2'-22'7 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: (a G,t..)�,eft&.. C.aP577e tie:no/v <br /> CONTRACTOR ADDRESS: mem' PO $DX 44 <br /> onr ly)1�?g'GM— srATr�l/tM- zipe 26 <br /> CONTRACTOR PHONE:426-2/4-4144 ' [�CONTRACTOR EMAIL: k -/ei iblinmE-A02 k/�w/ * . 0 <br /> CONTRACTOR LIC.v#(REQUIRED): (3El�ILtgC� '7• Z CITY OF EVERETT 1 USINESS LIC.#(REQUIRED): / i9 <br /> ..�J..e.aun.vFa. .w..v.,.as,. .� m-vx••m..*.....a..,..J .. ,....n..w...w..rwt«.w.f.w.. ....�.:..e.t-«..,w....,..r.,...,.rv.-.r....�.e...� +;..:.+.. -. <br /> PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NA <br /> ME: CONTACT PHONE: 2,04,-7 3 c_6-.6 <br /> 5 ika <br /> DeNN 15 Cep(A/ CONTACT EMAIL: DEAN IS �i1 <br /> • 6,0 <br /> AGREEMENT•T hereby cerwy that 1 have read and examined this application and know the same to be true and correct All provisions of laws and ordinances governing this <br /> type of work will be completed whetherspeclf<ed 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 regulating constnictlon or the performance of construction. That 1 em authorized by the owner of this property to perform the work for which application Is made and <br /> comply with the State Contractors Law 18.27 RCW and 208.20d WAC. <br /> City of Everett Official Use Only <br /> FEE �v <br /> 239 <br /> PERMIT# O�� <br /> .1 . / 9-/ -/7 E Ricfl - <br /> Owner/Au or zed Agen Signature Date (Revised 10/12/2016) <br />