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04/17/2017 10: 13 3604740126 DONNELSON ELECTRICrjNC #3805 P.001 /002 /11114/4%'1 �� ELECTRICAL PERMIT APPLICATION ✓� . CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 93201 (P)425-257-8810 FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwagov/permits y..-,.:.._...:... .............. ....... . . . ... . .. . . .: . P...:....:EST iT1=<1N PROJECT ADDRESS: I3o„3 ‘Ai tri V A—es ipk Vt BUILDING AREA(if residential,new construction emode .r addition) LIQG7 SF• IGi-1-cAr ,el BUILDING TYPE: C1 SFR-DETACHED I5tSFR ATTACHED D DUPLEX II MULTI-FAMILY-0 OF UNITS: 0 COMMERCIAL USE OF BUILDING; CONTRACT PRICE OF WORK: � �«�-°° NUMBER OF DEVICES(if low voltage):' • FIRE ALARM? C1 YES r NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: (yD .A ..:. ,.. :,� ''�.;..:..;'.: Cbst,it11CT'0NFQRMA7pdN .. . . . ... ., ...... .- OWNER NAME: '1'E ' C E LIMA TENANT NAME(If Commercial): OWNER MAILING ADDRESS: STREET } j33 LO rnarA h kat V ��i�3 G CIN STATE 1,A.j T`- ZIP (O OWNEfR PHONE: ZO� 1 awNER EMAIL: CONTRACTOIR NAIVItw: n i S �[ L• AJC .- CONTRACTOR ADDRESS: s,•Rasr {3 t N tf y rv% 'Z 4147 —1 CITY / l to i / STATE 64.4 ZIP /&;&-?/ CONTRACTOR PHONE: ciZ-S-3641.-• ( CONTRACTOR EMAIL: de? e,4 . ekL+ �rn�� e cwt CONTRACTOR LIC.#(REQUIRED)- CITY OF EVERETT BUSINESS L1C, (REQUIRED)'fP1 ✓' PRIMARY CONTACT: pt.ovvNER 0 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: -CONTACT PHONE: ,.. R7 Z- 3i 135 CONTACT EMAIL: AGREEMEN71 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 goVcrnfng lPiis 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 local law regulating const,uctron or the performance of construction. That I em authorized by The owner of this property to perforin the work for which application is made and l comply with the State Contractors Law ia27 RCW end 296.200 WAC. City of Everett Official Use Only FEE 'rl ) (30, PERMIT 0 -0011,0,01110 E 1164-1 \.(6 • 'author'–•Agent8,ignature ate • (Revised 90/12/2015)