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�'- 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 /> PROJECT'SITE INFORMATION <br /> PROJECT ADDRESS:3003 WEST oAcb/ EVERETT-, WA 9'62,0¢*8L[a*C01,.40-Io/IU•I B/!/- <br /> BUILDING AREA(if residential,new•construction,.remodel,or addition) N/A SF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 'COMMERCIAL <br /> USE OF BUILDING: 1NtDU51121A•1_ <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 5„141 5 - <br /> NUMBER OF DEVICES(If low Voltage): .N.VA <br /> FIRE ALARM? El YES 1:6iNO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 1...S/A. <br /> DESCRIPTION OF WORK: rempozooey 64:;705.T C.TrO?J POW <br /> BK�4A1G•I GR.C.LJIT'MAT IF/A477A'J <br /> • t l 2.5 lam-r/l1G DIVElei -U }teept-4CEIi9A irigeFlAzisilitiox r . <br /> I*EI/tGE 1 oAk- ie-o ff)/ZEPLACEMeAJT <br /> !A1srtLA 7cz4) , 5 <br /> CONTACT'INFORMATION <br /> • <br /> OWNER NAME: �t 11G TENANT.NAME(If Commercial): P.cE11 . <br /> OWNER MAILING ADDRESS: STREET PQ O)C. 3-lO1 <br /> are SEr4TT .S STATE Wit zie 96124.2201 <br /> OWNER PHONE: 312.544.2.DOD OWNER EMAIL: 14/A <br /> CONTRACTOR NAME: tS?oOyAAL.1i `L�'�-SC�. LAX <br /> — <br /> CONTRACTOR ADDRESS: STREET 45135 t•.lE cia,t4t, STIP a -r <br /> crn F-EDMOtg1D STATE 1NA4 ZIP 196052. <br /> CONTRACTOR PHONE: 425.(314.10000 CONTRACTOR EMAIL: ary. 0elaCnoel-€.Bei? 4.11•Cawl <br /> CONTRACTOR.LIC.*REQUIRED): SEC Uo .LS r1 i•SdI CITY OF EVERETT BUSINESS LIC.#(REEQU1RED):4o1.4J <br /> PRIMARY CONTACT: ❑OWNER CONTRACTOR ❑OTHER•(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425 963• n f <br /> Imo(BBI,AMGR., Pvzo..1E.CT Mrsc1446?-- CONTACT EMAIL o ctr•cj. v ere. .01�1.taHa n •caret <br /> AGREEMENT:_t hereby certify that!have read and examined this application and know the seine to be true and correct All provisions of laws and ordinances governing this type <br /> of work will be completed whetherspecified herein or not.'The granting of a permit doss 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 tam authorized by the owner of this property to perform the work for which application is made and! <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> - _ &O0121>U - 1O.Iz.IS E V$l0 - U( (10 <br /> Ownef/Authorized Agent Signe re Date (Revised.9123I2016) <br /> ei i ei•hoG6-1 v5 @ 6e000541,COVvi <br />