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tLECTRICAL PERMIT A! 11 U CAT ON <br /> IAVFlz — 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 J www.everettwagov/permits <br /> 'PROJECT ADDRESS:a 7 va. C o/ by <br /> BUILDING AREA(if residential,new construction,remodel, or addition) SF <br /> BUILDING TYPE: D SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: %COMMERCIAL <br /> 1' <br /> USE OF BUILDING: i Z z f/ C J9- Fe. • <br /> ! " IJLI!Ct"11CAL ; :. _: _. <br /> CONTRACT PRICE OF WORK:$ 7 00 0 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 13{ 7 0 7 - ©3 V <br /> DESCRIPTION OF WORK: - ,r 71;$1-// (1 / l G''©+ 1 - ec Ylo //2"fro e- <br /> ' <br /> O V if)/ J - a I<11--c.4 e_ L g vi j <br /> OWNER NAME: 1�4-c�i )d /7 y d y! • Colby ITENANT NAME(If Commercial): LT,�� c‘,4- <br /> OWNER <br /> /� 1 <br /> OWNER MAILING ADDRESS: STREETJ),�a�. 7 A_7 C o j b` Q <br /> cnY i t)•e j�e �7 / e STATE W 4- zip//8 A 0L <br /> OWNER PHONE: va d 6 8 y/ - ! 0 7I0 OWNER EMAIL: rI 4 C 4 rcUn y v t/yl / Q �7 MO// 1 0 L49 <br /> CONTRACTOR NAME: Po /v7 i' 41e c_fr i e d r „ <br /> CONTRACTOR ADDRESS: sTReEr /3 �� l�C�- - R <br /> CIN (Y'W STATE I/ti ZIP 78 3 <br /> Pal <br /> CONTRACTOR PHONE:3 6 0 7 x 7 /3 o d CONTRACTOR EMAIL: I'ov n-ter. , c o yy/ <br /> CONTRACTOR LIC.#(REQUIRED): /O i ei/e 1 � G & D E CITY OF EVERETT BUSINESS LIC.#(REQUIRED): / Q <br /> „,.,.,- <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR fi4 OTHER(Please Specify) if I.' d Co tv <br /> CONTACT NAME: CONTACT PHONE: 1l a c Z 3 8 8 a 9 g <br /> CONTACT EMAIL: DI, RL 1- e WAVE CA-J31,,e E. C o'3� <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 l am authorized by the owner of this properly to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.206 WAC <br /> City of Everett Official Use Only <br /> FEE <br /> edlaPERMIT# <br /> //g//g E ( g O 1 _ rO <br /> Owner/Authorized Agent Signature Date (Revised 10/12/2015) <br />