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4'2925-1301. 62'9a7/ <br /> �- ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98209 <br /> (P)425-267-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT ADDRESS: ed11i 5-Jo <br /> BUILDING AREA(if residential,new construction,remade,or addition) SF <br /> BUILDING TYPE: D SFR-DETACHED EI SFR-ATTACHED El DUPLEX CI MULTI-FAMILY-#OF UNITS: l COMMERCIAL <br /> USE OF BUILDING: gU61/146 E1/geETT <br /> �:•j�Vi��r'--+daJ6• - �1Prp, ...mss....f,..ru.�a- �iN-.rv. .. •,.r.,;•er�l, • <br /> '�i` J} •(i7'�.<iM.C..,.�:''Ap�L1.,A,_n.� _� ,.�'01RM J►THfJ1f11����.�,�. :.;: ', _ �� <br /> S:tsv .. .,v.:i-x..c-'..: ... .- ..��Y. rEM1�r R<.tl�. , Q �swr R'It. .,t• <br /> �♦�:e^''"'•'• •' :It•.♦:.:-::`'3•�h'7-•'`•...r,Ah Ls 5,...:'Wa h.u..4. a L.,..i e•••G'i.���:ll•�i..r� 5...n.n.i�T,x.r.n+-4 l•.ti�. ...-.... .tl'.:;::'.1.�'..'l,�:S�.f.�.:..:.r.r Ger It•�it:!,•st�t.••!r�'. <br /> CONTRACT PRICE OF WORK:$ J6,2oc - <br /> NUMBER OF DEVICES(if low voltage)». <br /> FIRE ALARM? ❑YES 14 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> �7J L. <br /> DESCRIPTION OF WORK: `� G,x� 1/50- s• <br /> • <br /> • .....-,..�' :L. . _ ,. .. :. • -. ..: ....• • <br /> ... G011�TACT INFORi��1T10N - •.. . • <br /> .. - � •:.• _ _ _> .r.- <br /> OWNER NAME: TENANT NAME(If Commercial): /06 <br /> OWNER MAILING ADDRESS: STREET lb &Vx 3707 <br /> crrY .5E 4'ITLE STATE 11/14 vn'7 /29—2207 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: (.e) fit. C fjU5f Ue.,:r/A4 J <br /> CONTRACTOR ADDRESS: STREET Pe, $30,K 4/, <br /> CITY "nag 1L7�27 STATTE/V f/� <br /> ZIP9g'204 <br /> CONTRACTOR PHONE:422-294-6944 CONTRACTOR EMAIL: k/t/e./ H4I,,MEie 'k, . wir1 CDr <br /> CONTRACTOR LIC.#(REQUIRED): 66 Ai&ec ' i-io•z CITY OF EVERETT OUSINESS LIC.#(REQUIRED):0L1052 <br /> w.ww.:11`."^"`^'nuw♦wnww.vvrw.vwr...r.G.uowaxv.wa,y,AwMutroVrive nr.. n,1'n+a4r 3.-.• - hne ..w.. ....a•wn W..e wn.a..r-..+w�.•Hw�.ru>,-.♦+•w,++xa x4.... .n v„wnM•wrrn <br /> PRIMARY CONTACT: El OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Ceow CONTACT PHONE: 2' -"73 b•-lp 5 4-4, <br /> . D IY 1415 CI�..DIN CONTACT EMAIL DENiq f S.C1.K,ok kIE'I I T. 60h1 <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be hue and correct. All provisions of laws and ordinances governing this <br /> type 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 slate or <br /> local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and i <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE � 73 t:90 <br /> PERMIT# <br /> _/? E - 09.S <br /> Owner/ u or zed Agen Signature Date (Revised 10/12/2015) <br />