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"1111 -- <br /> ILECTRICAL PERMIT AOHLICATION <br /> vatir-Y -- CITY OF EVERETT PERMIT SERVICES <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 /> PROJIECT SITE INFORMATIOM <br /> PROJECT ADDRESS: Eoe\FCA QUYYtXU l 5OQ7j W ecs\VIU '\A I'EV` q V'J O U Lt <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF LL 0-71- IcidA (' \. iO q <br /> BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 34 COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 0\,000,00 <br /> NUMBER OF DEVICES(if low voltage):. <br /> FIRE ALARM? 0 YES El NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): aa <br /> DESCRIPTION OF WORK: �Q 1 ueft te. �p 0 o vvI e d S eer}1P ft av d ma mp <br /> -pQSrboYl AX-v d. <br /> CONTACT INFORMATION. .. <br /> OWNER NAME: 1 TENANT NAME(If Commercial): Oe'i Y1 <br /> 9 <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: y OWNER EMAIL: <br /> CONTRACTOR NAME: Vn U1f1S \ ,.,�I Q �O� . y-0,6, ,A <br /> CONTRACTOR ADDRESS: STREET <br /> �� 150X I2(0(a <br /> CITY \Je ti STATE V V IA ZIP CI PA 0 L <br /> CONTRACTOR PHONE: 2Q(-1 1 b - B81-)1...., <br /> 82- ( CONTRACTOR EMAIL: Dred (h Gj QV @YV1 Sp. (Um' <br /> CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): t°1 )qrt <br /> PRIMARY CONTACT: WNER V+,®CONTRACTOR 0 OTHER(Please Specify) <br /> 4PCI <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> 'AGREEMENT:T hereby certify that I 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 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 state or <br /> local law regulating construction or the performance of construction. That I 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 <br /> 4. \ 02, 5) <br /> j'1 PERMIT# <br /> E IC605-'it) <br /> Owner uthorized Agent S g ature Date (Revised 90/9212095) <br />