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"P/A1* ---A <br /> ELECTRICAL PERMIT APPLICATION <br /> 1- 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 /> ;'RROJEOT SITE INFORMATION <br /> PROJECT ADDRESS: Joo3 WEs7-CASfiJo A Abf EV� WA 982 •.W."b, ''" , ° . 111 A <br /> BUILDING AREA(If residential,new construction,remodel,or addition) M/A. SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 1.OMMERCIAL <br /> USE OF BUILDING: MAt.1UFACTUta-I14G <br /> _ _ <br /> ELECTRICAL APPLICATION::INF_ORMATION . . ::::'::.:i::::: ` ..,.. -• <br /> CONTRACT PRICE OF WORK �• <br /> NUMBER OF DEVICES(if low voltage): tit/A <br /> FIRE ALARM? 0 YES „erNO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): NA <br /> DESCRIPTION OF WORK: 7E-Mlso>e,4, doxis71p. crioAl 3MWELI tlehALC1.1 CARLUIT MobtFWCAT10AL/ <br /> 1.161417146 f-:Fd1EL-0AJ )REPL-ACEMJ J/leerUl2B&SMMe <br /> D6Y(CECOA/E-P-o1dE)/eEhL.f4CEMt'PLr '4 its.. r t.L GFC/ a e-AWC <br /> *410254'..qZ4310 <br /> .. • :. : .. . .. :. . .CONTACT:INFORMATION '::-•::' .. _ :: <br /> OWNER NAME: .BCrE/A/G TENANT NAME(If Commercial): £Cre lttG <br /> OWNER MAILING ADDRESS: STREET Po 6!)X 3707 ,.,/ <br /> erre 46)tk't�'t�e. STATE WA ZIP 98/2 -220y <br /> OWNER PHONE:3/2 .,, 2 <br /> 54-f. oDO OWNER EMAIL: /VA <br /> CONTRACTOR NAME: Ze-quOy/Ar t1ZE'aT Jt. GLI✓ <br /> CONTRACTOR ADDRESS: STREET /x/35 WE 92.AJB3 S7XET <br /> cnr IQEbMOAf2:I STATE WA zip 1118052 <br /> CONTRACTOR PHONE: 12.5. $/4. , soco CONTRACTOR EMAIL: 9ary.t elar1Sera tsec/N1y4N.Lia7Y1 <br /> CONTRACTOR LIC.#(REQUIRED): SEQUOEL.977.59 JCITY OF EVERETT BUSINESS LIC.#(REQUIRED): 1194,15 <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425,22.51.2.545 <br /> _JIM AMD 5CN, GetsS Few-0444. CONTACT EMAIL: 3i rn.anderso n Q not y• t=anti, <br /> AGREEMENT I hereby certify that I have read end examined this application and know the same to be true and 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 f am authorized by the owner of this property to perform the work for which application Is made and 1 <br /> comply with the State Contractors taw 18.27RCW and 296.200 WAG. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> GARY A' 11:t-ER 6.22'./e E l SOZ— ItAt <br /> Owner/Authorized Agent Signaturei pate (Revised 9/23/2016) <br />