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4e77 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@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT ADDRESS: • Vj CAi L.4&_/D 1.4 <br /> �' (Z <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED OPSFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> *;!IR!,,,, 4ltn"�:,rN __i �a=' I f , ,�--.iror.."AV-I,'" r:�, ar�m:�'.i Pi M; �:r) IOW <br /> H I � AT <br /> > - ' ii r ( a <br /> � ��� � I el� � ddm.'. �• �I mri • pH <br /> a'�� d ��i5r.r,Lt i, "ilia.'r:41ia�H4P,n ual�� dui,i q.�.:� .'�' 9d1�."41t�y�u 11 <br /> CONTRACT PRICE OF WORK: $ <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: H-QZj-- <br /> 1i)M —t-.0 <br /> RPgno- PdH"�;!_ �I�i @G���4�i!i „ ii �V UII�clt�tllO���(��iiry'� D. i �na�^ .!..iq iM ��i ,rar��i< <br /> a i�h�r' R "yyyy ��"i (iih��: i''°:11' p'�y�i �p��ii I�NIiy FR to i1I �, ,i <br /> y�p� ;;att�6sr � Vh .la Sh � N� Hs ,!5ro1^o "i�4 <br /> OWNER NAME: TCryll.] t NJ& TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 11-1/2-- 0 W C L.& d 12 <br /> � CITY A) STATE Nie_. ZIP '9 g 20 <br /> �( <br /> OWNER PHONE: L-•°j4p• S°J(D t 'OWNER EMAIL: <br /> CONTRACTOR NAME: 1 ,(���: \ \ 4 (t _ 0,6Y`(lt?)12--i 11�1UVI_S <br /> CONTRACTOR ADDRESS: STREET PO )-qR J <br /> CITY �G1 kAietA L [ STATE V�`,3 ZIP q� L9-0 <br /> CONTRACTOR PHONE: Q ' 1O •/1 ' C)_�,v\ CONTRACTOR EMAIL: )�(Yf1) P������� ,'�'tM�—, <br /> CONTRACTOR LIC.#(REQUIRED): P- 6 C g10JFP CITY OF EVERETT BUSINESS LIC.#(REQUIRED):01='' b <br /> ,..e. <br /> PRIMARY CONTACT: 0 OWNER KCONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 3 fp 0 • �S S . 9 600 <br /> dUUks, CONTACT EMAIL: n <br /> AGREEMENT::I hereby certify that I have read and examined this application and know the same to be true` a,Q(��}and correc All provisions oi'faws and ordinances gove 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 /> is E � � C�'lTi`� <br /> Own: Authorized Agent Signature Date (Revised 9/23/2016) <br />