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5,-�70z1-39� Co"roa� <br />LLILECTRICAL PERMIT AP LICATION <br />(P) 425-257-8810 <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />FAX 425 257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.govlpermits <br />:PR <br />PROJECT ADDRESS: a <br />BUILDING AREA (if residential, new construction, model, or addition) SF <br />BUILDING TYPE: ❑ SFR DETACHED ❑ SFR ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY -# OF UNITS: COMMERCIAL <br />r,..- OF BUILDING: F29EUII& EVcii� <br />• .. .. - - - - :.p_ .a...Y.,o� _ri..i�orliiui Too�•.. - - . - - - <br />- ° E)rEGTR1Ci4L�A,h L• 0 A 1,. ail A, . �„, <br />CONTRACT PRICE OF WORK: $ <br />NUMBER OF DEVICES (if low voltage): <br />FIRE ALARM? ❑ YES A NO <br />ASSOCIATED BUILDING PERMIT # if applicable): <br />DESCRIPTION OF WORK: ' <br />1�' - ' - li •. _- ' - - ,ClOIi�TACT'IINFORI11ti4TNON. •.. .... __ - - '. .. <br />OWNER NAME: TENANT NAME if Commercial): <br />OWNER MAILING ADDRESS: smEEr go)( 37D7 <br />C(TY Lg7- STATE r ,IZ " 4 -_� d 22,07 <br />OWNER PHONE: <br />OWNEREMAIL: <br />CONTRACTOR NAME <br />CONTRACTOR ADDRESS: sTREEr PO $0X -440 <br />/^ a <br />CITY I G V STATEW4 z1P <br />CONTRACTOR PHONE: rj'Z �'� <br />CONTRACTOR EMAIL: /�'� f . /1'1 fir- r �= I T. CDC <br />CONTRACTOR LIC. #(REQUIRED): (?g C �O Z <br />CITY OF EVERETT SUSINESS LIC, #(REQUIRED): <br />PRIMARY CONTACT: ❑ OWNER ® CONTRACTOR �El OTHER (Please Specify) <br />CONTACT NAME: <br />. DgN N I S <br />CONTACT PHONE: 206- 73 6 `654-& <br />CONTACT EMAIL: piFly jqI S. Lt A01V ® 09-1411 T. d-OM <br />AGREEMENT. Thereby certify that/ have read and examined this appltcatlon and know the same to be true and correct Atl provisions of laws and ordinances goveming this <br />type of work will be completed whetherspecfbed herein ornot The granting of a permit does not presume to gNe author& to violate or cancel the provisions of any other state or <br />Ibcallaw regulating constfuctlon 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 t <br />comply with the State Conbractors Law 18.27 RCW and 296.20d WAQ <br />City of Eve>r;H_ Official Use Only <br />FEE <br />PERMIT# II <br />�� Oq — V%D <br />(Revised 10/12/2016j <br />