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477 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 SITE INFORMATION <br /> PROJECT ADDRESS: 3o3 WEST oesiiJO Rom:), EVE. WA j8ZC}¢ __ " , " <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: OMMERCIAL <br /> USE OF BUILDING: Ma14OFACTJts-IT1G1 <br /> . . ;':: EI E.CrTRICAIT 0.04C410N... NFORMA PCN . .,..','.1:j:: .. <br /> CONTRACT PRICE OF WORK. ,,` <br /> NUMBER OF DEVICES(If low voltage): N/A <br /> FIRE ALARM? 0 YES ,,ErNO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): NIA <br /> DESCRIPTION OF WORK: 7tpoRA. y t sretiGTI01U pawEg1 8/eA-%LCN U' tkC (r MO'biriCAT10t.L/ • <br /> L.IGl.Fri JO(IIE-, t-O74R.e-PLACEMMJT/R-EPOZB(SNM <br /> _ DatiCE�OhIE--Fei -OIJE)iee-P.ACE'Nfl~Lr 1N 7-A w GFCI 1312EAKEAS <br /> avak 324310 <br /> r <br /> . •. • f " . ;T.:00000*ORM4T104 . • _. ". ' • :r <br /> OWNER NAME: 60-6//..ft TENANT NAME(It Commercial): scre'ALG <br /> OWNER MAILING ADDRESS: STREET PO 60)G 3707 <br /> crrY .SEATTLO STATE WA ZIP V8124-2207 <br /> OWNER PHONE:.3/2.54f. .2C7'Go OWNER EMAIL: til/A <br /> CONTRACTOR NAME: ...UwevA-a OZ..EL+ c2 LC.G <br /> CONTRACTOR ADDRESS: STREET 1535 NE 9z/L1 Sr, 'r <br /> CnY l2t McT!Jb STATE WA ZIP 91805,2. <br /> CONTRACTOR PHONE: ft5. 8/4. 1p000 CONTRACTOR EMAIL: gary.Le(cu er Q se y.6411.&m <br /> CONTRACTOR LIC.#(REQUIRED): SS6'QUOEL 97759 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): ''ffD(o'7 <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4125,2p 9.2,545 <br /> -I IN AND6p_SOt.1, CxetdE¢AL.ro/ZEMAi4 CONTACT EMAIL: 3 t rn.AncIerso n @q,4OLpL(1• e_ernet <br /> AGREEMENT!hereby certiy that I have read and examined this application and know the same to be true and correct.All provisions of taws 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 I am 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 RCWand 296.200 WAC. <br /> Cityof Everett Official Use Only <br /> PERMIT# <br /> GARY A B ER 6.2.2.18 E k ZOE _ I(S <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />