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ECTRICAL PERMIT AP (CATION <br /> CITY OF EVERETT PERMIT SERES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> 4 �:.m a .x.t 'e x i 4 ' ;£t <br /> PROJECT ADDRESS: ' ?-7.-CS r • As I 1" [ As v\lik el$ 0 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) 11 Z 0 SF <br /> BUILDING TYPE: 0 SFR;DETACHED 0 SFR-ATTACHED 0 DUPLEX • MULTI-FAMILY-#OF UNITS: 2.- ❑COMMERCIAL <br /> USE OF BUILDING: I B or L& • <br /> CONTRACT PRICE OF WORK:$ fl C.0 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES s4 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): n_ ' <br /> DESCRIPTION OF WORK: l.tvin.f`1' 322' Y-Qa(`- l vf� 3 runs+� Y�Q f'S n15+al,1 <br /> Y1-s oticrkt-ek. 1 In is-kml W y\eAA VteLiNice.1425. Iraj--til r <br /> -c•ar% 1 't ked 1 Voro— • <br /> u A- 3z2 rs I t Y \ 1iCo*t.d c+ � , rpt' Oc+�: ri ptQc <br /> fl � <br /> ski �� new w- ;Iv\ - x-�- r�_ <br /> 1 <br /> '� �, ,as i� i.� s •{:' �J r..�y�� .. - a,L 5?r s < s Asa _��x..f .�x Y#i�'�;r .`fit <br /> `�-'�r.� r.., ,_ _.,r5_ Y4,,,. xu re;i. 3,_:>. .. . _ a F,e; "3- - �;i;Lv ...' ': t .�.4�'•- -.fr,.� .'.'t..i..' <br /> OWNER NAME: 1111�CuSincir'e TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: j STREET 5 83Oy ars ry Y) VJ' <br /> CITY E Y Q/ -4 1 STATE V44 ZIP 87 <br /> OWNER PHONE: "� 2 5-341 • (9519 5 OWNER EMAIL: b© \bb1-1"i1DY1►y ilht/iS11('ilAtU�L tarn <br /> CONTRACTOR NAME: S. S-{-.p_f Sol ,i �g pl}„ WA <br /> J J <br /> CONTRACTOR ADDRESS: STREET pQ 13 ta -\\\�j3 CY% <br /> CITY n nMS1 STATE 4A ZIPq '%ON-0 <br /> CONTRACTOR PHONE:9 ZS C? ZO1.up !CONTRACTOR EMAIL:CIDrTrpt{- .C+4,51* aiuNtO f�et_Goan <br /> h 77�� g� <br /> CONTRACTOR LIC.#(REQUIRED): S'1 ST 5 S W° b V P') CITY OF EVERETT BUSINESS LIC.e(REQUIRED):05tri ZR <br /> PRIMARY CONTACT: ❑OWNER a CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: Li ZS . 2,4 + 2.0169 <br /> Ni coked — .V% CONTACT EMAIL: (' pn-o+ k/h.'9'e, =C i(�t1`.41h7 1-q4!G' hie c ' <br /> AGREEMENT:!hereby certify that l have read and examined this application and know the same to be true and correct. All orol isions of laws and ordinances governing this type <br /> 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 lam authorized by the owner of this property to perform the work for which application Is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> P.)eA) J� <br /> City of Everett Official Use Only <br /> PERMIT# <br /> (riletA rlVi 11 E Q —10 2-- b 70 <br /> Owner/Authorized Agent Signature Mite (Revised 9/23/2016) <br /> r arra <br />