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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 82OG CEDAR.STREET, EVERETT, WA 88201 <br /> (P)425=257-8810 J FAX 425-257-8857 J ()evr refteps(everettwagov 1 v w everett .gov/permits <br /> 1 - "bid 1 V.. .. ..✓ i <br /> :rttVtrttt9. tgq**EjfAtP,:-L6L.L:?s:r.,eao„.11:44titlf!'771E7Fii1/210111ggiga,4-„,-v* <br /> PROJECT ADDRESS: I r Li CASCAspoo teo., lit- -r,. OC 2-03. <br /> BUILDING AREA(if residential,new construction,remodel,or addition) , „. $F <br /> BUILDING TYPE; D SFR-DETACHED a SFR-ATTACHED a DUPLEX 11 MULTI-FAMILY-#OF UNITS: I GQMMERCIAL <br /> USE OF BUILDING: fSit,EA K Ay »5 , <br /> hu � ° � � � � ,' � , <br /> , Wy . � A,S ^' ,,a ° f4 <br /> CONTRACT PRICE OF WORK;:$ 9-7 0- <br /> NUMBER OF DEVICES(If low voiti e) . <br /> FIRE ALARM? OYES EC NO <br /> ASSOCIATED BUILDING PERMIT 9If applicable): <br /> DESCRIPTION OF WORK: <br /> ..._+c 101, a c z itt» r .1;tl S'' , ? i o " 1+ 3.. <br /> j _ IVt 1.e. : t 3 . <br /> a a..� a€ ,r,,.a �04:4c01 FORM `' 1t,4,f .iiia ¢' .z.,,5 <br /> OWNER NAME: 156C47,04 TENANT NAME(If Commercial) w '7 " D6,w%.lat. <br /> OWNER MAILING ADDRESS., STREET I l Li CA s Q <br /> CITY CM' STATE ZIP :; <br /> OWNER PHONE:: OWNER EMAIL: , <br /> CONTRACTOR.DAME: 14 464 4,,E+0F' <br /> CONTRACTOR ADDRESS: STREET �} t�r •• <br /> 1.1 T <br /> oily ge.u,AVVICSTATS Lf);A. fitP t S i <br /> CONTRACTOR PHONE: :„ -714-7-.$7-00._CONTRACTOR EMAIL: a l-oolos C31N 4.P*4+�G'Et EC1 %C.40011 <br /> CONTRACTOR LIC..#REQUIRED: ' ._ -5. <br /> 17 i CITY OF EVERETT BUSINESSNLIC, (RaQU1RED C) •( '� 4 <br /> PRIMARY.CONTACT: I_I.OWNER CONTRACTOR a OTHER(Ptease•apecify) 1 <br /> CONTACT NAME: CONTACT PHONE: tj. 5.- .. {y 5 4 <br /> •CONTACT EMAIL: K lua` c+> 1+ ,'7► G ;+ C. <br /> AGREEMENT.°I hereby certify that I have read and examined this application and know the:same tc.be true and correct. All provisions of laws and ordinances governing this type <br /> of work vil!!be completed whefherspecieed herein or not, The gran#ng o f a permit does not presume to give authority to violate or cancel the provisions.of any otherstate:or <br /> local law regulating construction or the per*Sonome reconstruction. That!em authorized by the owner of this property ltd perform the wctk for which application ismade and l <br /> comply with the State Contractors Law 1.8.27 RCW and 29$.200WAC.. <br /> city of'Everett Official Use Only <br /> PERMIT# <br /> 401."°' "v . IP/ ' .- E kgic:ir - —0(0 <br /> ... ...; ,. ..,_ . t 3— IT <br /> Owner,'uthoriza.AgenttStggnnatura Date (levised 9,23/2016) <br />