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47r L'trECTRICAL PERMIT AICATI N <br /> O <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@everettwa.gov I www.ev: - 'Y... . = its <br /> r <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: t ,( 4 `5 QA`L.S ILIA 0 p Ev l \ <br /> BUILDING AREA(if residential,ianew construction,remodel,or addition) •F �JJ <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX I ULTI-FAMILY-#OF UNITS: Ar.. -} 0 COMMERCIAL <br /> A-" <br /> USE OF BUILDING: j1-1.4 � <br /> — , j�-s l <br /> ELECTRICAL APPLICATION INFORMATION - <br /> CONTRACT PRICE OF WORK:$ o1 T. (L 1.9 2 c0 elirenL <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: apt-r1l`�, DE (1 ) L\L ( C 1 Com► L! U) <br /> SW I'RA,-t (�0 C' c ()I'3 It ‘, (2. 3 Mfriz,ronflrfrs 0, ,f__ it- sin ( -. <br /> 'Minn . jT2,-rnnciens "(i.e. 15 h c., uft)12.Cl (» 7t <br /> �Z,Drn Vtri -c" <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial jt ,7 *" <br /> OWNER MAILING ADDRESS: STREET I e ► L7 jt <br /> e 1A JA0 20(5 <br /> �CRY �jY.iCJ'1\ STATE ZI <br /> OWNER PHONE:42z-i�"�"J ` t - OWNER EMAIL: w00I�j'l(e ,PIIkiR(,rAa 61/(J(061,0 ) <br /> CONTRACTOR NAME: AA 4. cAiy._.-1 CI <br /> CONTRACTOR ADDRESS: STREET t 3 t 31 -r Avess- <br /> 5Y t STATE WA' ZIA f L.p0 <br /> CONTRACTOR PHONEf4 oO(P CONTRACTOR EMAIL: Acro- &p . u <br /> CONTRACTOR LIC.#(REQUIRED): iiA0C-141(dry CITY OF EVERETT BUSINESS LIC.#(REQUIRED);Qf�kO 1 <br /> PRIMARY CONTACT: 0 OWNER ONTRACTOR 0 OTHER(Please Specify) tuft <br /> CONTACT NAME: CONTACT PHONE:Ll Sri- r I <br /> fy l `A '111ll.1\ 12 CONTACT EMAIL: ��I��i/�1.� ( �} hut- <br /> n� , VI <br /> AGREEMENT:T hereby certify that!have read and examined this application and know the same to be 1 true and correct. All provisions of laws and ordinances governing this <br /> 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 <br /> llw regulating construction or the performance of construction. That tam authorized by the owner of this property to perform the work for which application is made and I <br /> co la with the State Contractors Law 18.27 RCW and 236.200 WAC <br /> City of Everett Official Use Only <br /> FEE <br /> 22C <br /> PERMIT# <br /> (\ijA °5V\i ' E 19- 10 --0q9_ <br />