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477. LECTRICAL PERMIT AIOLICATJON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 ( (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 4109 f e,T 1.1 —41- L c y .L.t f 4-, ?Sao a <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED- 0 DUPLEX D MULTI-FAMILY-#OF UNITS: geCOMMERCIAL <br /> USE OF BUILDING: £(t Ce.m.kr/ fi r ?w __r-pS <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 1500 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES t)/610 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: /Kale_ 5 (Lip ley. 6 LL.4-k.4-- oc41-1\ents bt fe4g-ce3 <br /> CONTACT INFORMATION <br /> OWNER NAME: rpv; - i?5roPtai Aj, ; ( TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET ( yO( (_,i v ct, 40E- S(, ) 416/6 <br /> CITY 1 kp"l STATE GJft .ZIP /oe <br /> OWNER PHONE: 'OWNER EMAIL: <br /> CONTRACTOR NAME: VECA- t ckr;(— <br /> CONTRACTOR ADDRESS: STET Seo(L -744" Avg: 5 <br /> are $( M STATE �P /9(`a <br /> CONTRACTOR PHONE:'Lt(. ' 456-52o0 <br /> 'CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): V6e-A F CAA.V 1'S 2 <br /> .. . . .. .. .. ., .. t{ 'CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 60 454JS <br /> PRIMARY CONTACT: D OWNER 0 CONTRACTOR r/SOTHER(Please Specify) F—e-to C,Pvtered t3 art.Y.t z"i <br /> CONTACT NAME: <br /> CONTACT PHONE: 206,> O_9i <br /> sc ',tk,„?, ,D CONTACT EMAIL: .34se„.1 501,04ot- _6 (JJC G <br /> . od.*2 <br /> AGREEMENT:l hereby certify that I have road and examined this application and know the same to be true and correct. All provisions of laws nd 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 I am 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 /> City of Everett Official Use Only <br /> PERMIT <br /> z r/mow-�2 Z� <br /> t E t, k ��j3 <br /> O r/Authorize Agen Signature <br /> Dat <br /> (Revised 9/23/2016) <br />