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/111P7-7:4 dLECTRICAL PERMIT APPLICATION %44 .- CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov I www.everettwa.gov/permits PROJECT SITE INFORMATION PROJECT ADDRESS:e20 E.eAbY gpytb, EVER-Err;, WA 4$203 A./ICD/A!C J — rof7evjer._ BUILDING AREA(if residential,new construction,remodel,or addition) SF BUILDING,TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMIL -#OF UNITS: MMERCIAL. USE OF BUILDING: t?e.JDot-iINrUMS ELECTRICAL APPLICATION INFORMATION CONTRACT PRICE OF WORK:$ .3, C2r0 NUMBER OF DEVICES(if low voltage): t•t/A FIRE ALARM? 0 YES t,HrNO ASSOCIATED BUILDING PERMIT#(if applicable): t%lbs. DESCRIPTION OF WORK: i PAclR.-TDAcMsticOsIza 225 A UI.11tE12aleCrJNDL fes. SEQ.-I-oma #' 3-79 t5o CEtstrr-C —NC CALL- -Vic, CONTACT INFORMATION OWNER NAME: TENANT NAME(If Commercial): OWNER MAILING ADDRESS: sumer 14 A CRY STATE ZIP OWNER PHONE: OWNER EMAIL: CONTRACTOR NAME: SE qUo y/A.4 E—e 11P—II c..,Lc CONTRACTOR ADDRESS: STREET (St 35 NIE 92-11/405''tr cnY ReD MO KM) STATE WA ZIP q'e052 CONTRACTOR PHONE: -47-5.514. b000 CONTRACTOR EMAIL: Are.heerenspeJ e r etfoc/cc1?•Dam CONTRACTOR LIC.#(REOUIRED): .SBtwDEL.9775q CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 1Dea 5 PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 4, 457(mei& yJ Tow NEER-euspexclez, ror-rM CONTACT EMAIL: `. ya"J•O►ofrl �ai-e.�jeeYLhAI r esf e� cfd AGREEMENT:t hereby certify that!have read and examined this application end know the same to be true and correct. provisions of laws and ordinances governing this type of work will be completed whether speciffed 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 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 comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett Official Use Only PERMIT# 72,20.10e.,— to �.ieg E cog - 03( Own Authorized Agent Signature' Date (Revised 9/23/2018)