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411154,707-300 <br />aaa� <br />LLECTRICAL PERMIT AP CATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 J FAX 425 257-8857 j (E) everetteps@everettwa.gov J www.everettwa.gov/permits <br />- = - IP O:DE4T;.SIT�INFORM�►TION � �� - <br />........ ... <br />PROJECT ADDRESS: <br />BUILDING AREA (if residential, new construction, remodel, or addition) SF <br />BUILDING TYPE: ❑ SFR DETACHED IJ SFR ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY - # OF UNITS: COMMERCIAL <br />USE OF BUILDING: E27067246 EVaEiT <br />Ei.EGTRIC L ApPLIt;AT10�11�tFORNlAT10N <br />VC _ <br />[NUMBER <br />ONTRACT PRICE OF WORK: $ QQ <br />OF DEVICES (if low voltage): <br />FIRE ALARM? ❑ YES A NO <br />ASSOCIATED BUILDING.PERMIT # if applicable): <br />DESCRIPTION OF WORK: <br />:., _... - _.. • � ' . �f�OM'1'ACTINFORili114TlOti1. ` • ... . _. . . ... t<: - _ - <br />OWNER NAME: TENANT NAME (If Commercial): J30G <br />OWNER MAILING ADDRESS: SMEU gOX 3 <br />cmry STATE �/4 z� �2 - 22a% <br />OWNER PHONE: <br />OWNER EMAIL: <br />CONTRACTOR NAME: U / <br />CONTRACTOR ADDRESS: MEET PO $OX <br />cmr A: 11-Z2 srA fi' ZIP 20 <br />CONTRACTOR PHONE: -20 '1,H4 <br />1C,ONTRACTOR EMAIL: /e nE-AjeaF wl . e—oln <br />TOR LIC. #(REQUIRED): <br />CITY OF EVERETT BUSINESS LIC. #(REQUIRED):CONTACT: <br />❑ OWNER 14 CONTRACTOR ❑ OTHER (Please Specify)NAME: <br />,,/ <br />N I S CP-a W <br />r <br />CONTACT PHONE:N <br />CONTACT EMAIL: DENN 18. CieOW 10 I;IE-1411 T. d OM <br />AGREEMENT' Thereby certify that l have read and examined this application and knowthe same to be true and correct All provisions oflawA and ordinances governing this <br />type of work will be completed whether spec/tied herein or not. The granting of permit does not presume to give authodly to dolate or cancel the provisions of any otherstate or <br />locallaw regulating constructlon or the performance otconstrudion. That I am authorized by the ownerof this property to perform the work for whkh application Is made and 1 <br />comply w0lhe State Contractors Law 18.27 RCWand 296.20(1 WAO <br />MVP_1_/ <br />Owner u or zed Aden Signature Date <br />City of Everett Officlal Use Only <br />FEE <br />PERMIT # <br />E n b2 2 <br />(Revised 10/12&015) <br />