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* <br /> 4"7" ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> pp�� PROJECT SITE <br /> PROJECT ADDRESS: .S3-0 K- �7/�2-4- l/I , Ti/1iti) <br /> 14 <br /> BUILDING AREA(if residential,new constr tion,remodel,or addition) _ SF . , <br /> BUILDING TYPE: 0 SFR-DETACHED� � 0 SFR-ATTACHED 0 DUPLEX MULTI-FAMILY-#OF UNITS: 19 0 COMMERCIAL <br /> USE OF BUILDING: ee'�t-e-U <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ •7-2-.t U05 44- <br /> NUMBER OF DEVICES (if low voltage): Ill <br /> FIRE ALARM? )(YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): C. <br /> DESCRIPTION OF WORK: [ <br /> ..1Lj_de4/ *Wig!, '- •�' //' /,� <br /> `tit ,(/ - i . rr l A ,f- 64,J-, Ili//�=- j .. . , ' <br /> eard4_ (7.€ e_ <br /> M CONTACT INFORMATION <br /> M <br /> OWNER NAME: s� (Sflr�., I r14 <br /> OWNER MAILING ADDRESS: STREET] n�3j(�4'L,' TENANT NAME(If Commercial): <br /> Nc. st e. 7.0-0CIN �VK. STATE ZIP 5)peg <br /> OWNER PHONE: gbh 1 gt26, q n g OWNER EMAIL:/ ,� 2� Me .. <br /> �/ 4 <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREET 3� -�I -5'Pf i ' 'I -,1' <br /> CITY cely�-- STATE VIA- ZIP C 8/ <br /> CONTRACTOR PHONE: 07•�.3 �96lo� (� CONTRACTOR EMAIL: Se tda--ecz -1-C,'L� <br /> CONTRACTOR LIC.#(REQUIRED): Pt�IN 1 -(I I CK-- CITY OF EVERETT BUSINESS LIC.#(REQUIRED):051-1-E 0 <br /> PRIMARY CONTACT: 0 OWNER 'CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT <br /> Af MFS , / CONTACT PHONE: 2- . ?-3V /6/ r 17-37j f Lv` <br /> C� 1 4t CONTACT EMAIL: 5.k,71� d` till �.t/ 2� c 1 <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true an correct. All provisions 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 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 /> . 0 # <br /> 017?-- E01. )27 <br /> Owner/Authorized Agent Sig a /ture Date (Revised 9/23/2016) <br /> ci_,.----.1-5*--, <br />