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oop ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVEREIT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVER TT,WA 98201 <br /> (P.)426-257-8810 I FAX 425-257-8857 1(E)everetteps@everettwaa.gov I vww;everettwa,gov/permits <br /> 7. <br /> = • E v , ,z . ,, , meq, <br /> ,PROJECT ADDRESS. 'I CASTiVO ego vrter-g-t A` a," <br /> BUILDING AREA(If residential,new construction,remodel,or addition) ,SF <br /> BUILDING TYPE: a SFR-DETACHED; 1:1 SFRATTACHED El DUPLEX 0 MULTI-FAMILY-#OF UNITS: lCOMMERCIAL. <br /> USE OF BUILDING: hEII : <br /> . a <br /> 7 ,.�+E <br /> "' a <br /> .,a V�•s � �.. � d� Mea,,.. i a - <br /> !V <br /> :d'i�3 h <br /> Fes,. <br /> CONTRACT PRICE OP WORK:$ 15 53 . <br /> _NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? CI YES lit NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable) <br /> DESCRIPTIONE t M 6 -21 tfl4t OF WORK: I��ici �` �� rxr �' � <br /> I <br /> 1 <br /> Ar a s- > R 40. € 1;07 5 `:.j \ i'' <br /> E! <br /> OWNER NAME: r)Qt <br /> c ` TENANT NAME(If Commercial): . ..,, . R <br /> AD <br /> MAILING 1 MIS . Cik$r. vt leo <br /> MAILINGMAILIADDRESS: ��xEEr �,/���^'' <br /> MY �''''``. V i STATE U A- zip c s <br /> OWNER PHONE: DOWNER EMAIL: <br /> CONTRACTOR NAME: Pao M E. Cit:Ccst <br /> CONTRACT)RACDRESS:: maser 33 1 S �w <br /> CITYCL.L. STATE Y d_ ZI �i r <br /> CONTRACTOR PHONE 412 '7 7-52,0u..., CONTRACTOR WAIL:0 f/s, i1 i)Pll:ZM G- GC7 A <br /> C NTRAC„ T.O,L.,f�t.LIG #(. 9 iRED rc . iu T.„tetiTY`O, F EVEREiT BU,.SINESS LIC #(REQ. <br /> UIRES p iq q <br /> PRIMARY CONTACT: 0 OWNER1i&ONTRACTk <br /> a OTHER(Please Specify) /Eli <br /> CONTACT NAME: Axmte., CONTACT PHONE: l40 ,) <br /> �` ti <br /> I <br /> ..- <br /> CONTACT EMAIL:miAzitait' i� " 661-CcC.TAZT,441,4,44 <br /> AGREEMENT:t hereby certIlythet t have read and examined this application and know the same to be true and correct; All previsions oflaws•and ordinerr advent/nil this type <br /> of wott<will be completed whether specified herein ono. The granting ea permit doesnot presume fo give authodly to violate or cancel the previsions of any other state or <br /> local law regulating construction or the performance olconstreclion. That em authorized by lite ower of this property to perform the work for which application is made and i <br /> comply with the State Contractors Law 1&27 ROW and 290,200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> • .., '''''. —Ars,'yr E ‘,(7,C)q-4'. <br /> Owns etherize `Agent Signature Data ?Revised 9123/2016) <br />