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/o2925-�naz`l ao/ .775# <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 1 FAX 425-257-8857 j (E) everetteps@everettwa.gav I www.everettwa.gov/permits <br />PROJECT ADDRESS: <br />BUILDING AREA (if residential, new construction, remodel, or dition) SF <br />BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI -FAMILY OF UNITS: COMMERCIAL <br />USE OF BUILDING: saeltlt&}�� <br />' E TRIGAL`:Ah�•IL• Y p »^1 � IIlNI • � TS N <br />;1+'--t.: •'.':: ..:: :; ....: :' ��. �'.1. .. .'....': •.:'. '.._::•:�:..::.I�:n'..Z: r.i.:�iYtv�4a:c'i':l•r :=a': ::.IJ�I�Y.-.::L :r:--a.... t attt:.s. :i-]:r.::•'. :�L4'.:; J: .��-: -, - �: r.{• <br />r <br />CONTRACT PRICE OF WORK: $74 <br />rt,7 <br />NUMBER OF DEVICES (if low voltage). <br />FIRE ALARM? ❑ YES 14 NO <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />DESGRIPTION OF WORK: <br />D <br />-.. - .. • � -... ;GOI�TACTINF�R11�1bTi10•iN: • • .. . - • . .. ... -s <br />OWNER NAME: TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: STREer WX 3 <br />CITY 4rE, STATE WIJ ZIFq 12 — ZZa <br />OWNER PHONE; <br />OWNER EMAIL: <br />CONTRACTOR NAME: <br />CONTRACTOR ADDRESS: sTassT PO Box -440 <br />CITY Mi //—[ 2 STA;AA J <br />CONTRACTOR PHONE: "z 4 ` 'Y CONTRACTOR EMAIL: . /,♦ E-x / %'- <br />CONTRACTOR LIC. #(REQUIRED): &E&/ 407- <br />CITY OF EVERETT 8USINESS LIC. #(REQUIRED): D�loS <br />PRIMARY CONTACT: ❑ OWNER V N CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACTNAME". p / <br />. Dl✓wN 15 e-1�..'Ui/I/ <br />CONTACT PHONE: <br />CONTACT EMAIL: DENN I9. L-AOL' t�/ O (�.IE-WI r- <br />AGREEMENT.• Thereby certify that I have read and examined fhis application and know the same to be true and correct. All provisions of laws and ordlnances governing this <br />type of work wilt be completed whether specified herein or not. The granting of pennit does not presume to give authority to vwlate or cancel the provisions of any other state or <br />local taw regulating construction or the performance of construction. That tam authorized by the owner of this proporty to perform the work for which application is made and t <br />comply with the State Contractors Law 18.27 RCW and 296.206 WAC. <br />Owner Au orizedAgeniSignature Date <br />City of Everett Officlal Use Only <br />FEE <br />PERMIT # 7 <br />E ` qcq 1...� <br />(Revised 1011212015) <br />