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Nov 22 1710:OOa Ferrin Electric Irl. ' 3377746 p.3 <br /> i <br /> { <br /> 47z677- ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps©everet 'ia.gov i www.everettwa,govlpermits <br /> _ . OJT <br /> . r RM' N <br /> „ .. ..... .,. R �T,�:� T NFO ':T - <br /> PROJECT ADDRESS: —1 Ci 1 0 I 1 iJ I_e-:-:.4".!-- `G <br /> BUILDING AREA(If residential, new construction,remodel,or addition) .•6( SF E <br /> BUILDING TYPE: 0 SFR-DETACHED XSFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-*OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: —T{ 0\.,r,( <br /> I <br /> CONTRACT PRICE OF WORK:$ .1i 0 L . <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARLII? ❑YES ❑NO <br /> ASSOCIATED BUILDING PERMIT# if a plicable): I <br /> DESCRIPTION OF WORK: \'•J 1 tw( a.\,.3 i eN.) \ Yo 1 <br /> t <br /> I <br /> I <br /> I <br /> 9 <br /> 1 <br /> ........ .. <br /> .. ... :. _..: NFORMi4 10 <br /> OWNER NAME: Nli A i I.� .c S1-Q,k�LL�•,-TENANT NAME`(If Commerciai�: <br /> OWNER MAILING ADDRESS: sTREEr I G' .es ) <br /> L• t/),tkki V's..)i , <br /> i <br /> CITY E�(•�� STA7E�r�r�Ac zip � 9) 4 <br /> OWNER PHONE: i'• ),S 411;3 :Ac.. OD OWNER EMAIL: fi <br /> CONTRACTOR NAME: `ti A f...--V..�, -.,{''i( n <br /> CONTRACTOR ADDRESS: STF EET 9'O •, 9)Q/ i aLtf� tt <br /> . CITY (J 4 1. Llic STATE V` t^'q RIP 14, 040. <br /> CONTRACTOR PHONE:Li-c j 331) a f,5 CONTRACTOR EMAIL1j4t.f c r l\ t).v i�'!(„t<�r1r o i).�: <br /> CONTRACTOR LIC.#(REQUIRED): -�_{'c q '_i 6F}39 ` c CITY of EVERETT BUSINESS LIC.ti(REQu1RED):Q53�'�(-7 <br /> PRIMARY CONTACT: OWNER 0 CONTRACTOR 0 OTHER(Please Specify) I <br /> CONTACT NAME:, 14-.z.),6 <br /> n R <br /> '\r� CONTACT PHONE: 14- L' owl-lb // s <br /> '1' t t:` 'l\'�, CONTACT EMAIL: MIKA �v) ,4\t t 1 .�-}-I14:is (.. t LOVFy <br /> AGr.EEMEAIT i t hereby certify that I have read and examined this applicelion and know the same to be true and correct. Alt provisions of laws and ordinances governing this type <br /> fWo,k will be completed whether specified herein or rot. The granting ofa permit does not presume to give authority to violate or cancel the provisions of any others-tate or <br /> focal law regufaling construction or the performance of construction. That f am authorized by the owner of this property io perform the work far which appl/catlaii is made and I <br /> comply with the Slate Contractors Law 18.27 RRGW and 295.200 WAC. <br /> • <br /> r\,......... <br /> ,: <br /> r City of Everett Official Use Oniy <br /> PERMIT* t <br /> ......s...%, ..." )...-----.._ I i)a 4) i —7 - <br /> (65 i <br /> E11 <br /> OwnerIAuthorized ntSignature Date I ' I <br /> (Revised 9123/2016) <br /> s <br />