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• 7,-"i25)-2-71(0067' t &Y'7� <br /> ELECTRICAL PEF IT APPLICATION <br /> _,-- CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 J FAX 425-257-8857 I (E)everetteps@everettwa.gov J www.everettwa.govlpermits <br /> .fir i'�:: �:��. ':{-�. "•5t:•-%::i y''s':,c' mss: •:®�• ��•-� �®w. ,...•y.» �tixK..;- ..<:i; .:t;•. `i�•..-.:err-. "" <br /> i}Ji+-.v.i''tiV.: ..r1%.•�i.._a.x...... .. .. ./��.• ...pit.w.......-..a. v.r}..r1K94-fi.vi+'fe.n•�,�.t.v .V.HR= a.•t_ -...Vt:� ii�,y,�. .. ..esu.. ..r_..._. ... ... ��t'.•. a .e -. :.�:�':2u <br /> PROJECT ADDRESS: L O` re) 6 1 4+�t+'. l 9 <br /> BUILDING AREA(If residential,new construction,remodel,or addition)j SF. <br /> BUILDING TYPE: D SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX D MULTI-FAMILY-#OF UNITS: N COMMERCIAL <br /> USE OF I:3UILDING: age f�G EV `)"r' <br /> 5�s�'i•.'s'iir�'Y'�alrvi j}. ..t.erp.y-. ..,.t�,ww. L -.,: � ,..--,. �... .. _ ,� y�`t.Y..i. _... �r-rl: jn,y � �.� <br /> t <br /> -:6''v..� : ..ds_a w....v >•.1..e.e...: n_.. �'.h:•.wei H.�::+£ v..4n a nr,Yr•. F.�e•�: .i...•4t 'u..r.,... o ...t•.•�at...3.. _ .}.,tl...U:.tt.-.to.. hR...•w.fs•?'••sz..at <br /> CONTRACT PRICE OF WORK:$ ,22.9 • <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? D YES /4 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): t }_ <br /> DESCRIPTION OF WORK: �Y��}-(E k 1r-t9.,[�'e t -° '';,.. t 4- i k(✓+, `3 <br /> • <br /> • <br /> • <br /> • <br /> F:... ,w _:, .. .:. ' .r. : .... • ... ,GO ' ACT:YINORII�IATION:;'.' ' .. ?L s�-, .s <br /> OWNER NAME: TENANT NAME(If Commercial): BGE/,J6 <br /> OWNER MAILING ADDRESS: STREET pb e:0 3707 <br /> am, .501-77-LE STATE �" voJ1I21/_2207 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: 4e,oEftz. eipi.)5n.Ut 7'/)it <br /> CONTRACTOR ADDRESS: STREET Pa $0X 41, <br /> an "nag STATEn/li- 21P qg.24/71 <br /> CONTRACTOR PHONE:426-294 6944 CONTRACTOR EMAIL: kibei, H44MEr, Nkl wiIr. 6,941 <br /> CONTRACTOR LIC,#(REQUIRED 66N/�' C `'LO Z CITY OF EVERETT EIUSINESS LIC.#(REQUIRED): "40�.r.. <br /> •.Yi+..fra««�'vn.N...�ruonr.d:^.Y l..m....nR7' 1wWSww«. ^• •.5X9+.+4•w..Yisvr.."°a..QS•eM..r.q'f.s•M*^n^ray'eC.Wry WSF.y+•m•r...+...•rYM•a...t+�.yVWWM.!-..M..a�..w[.�.x.a.LWW+•. <br /> PRIMARY CONTACT: D OWNER 131 CONTRACTOR 0 OTHER(Please Specify) • <br /> CONTACT NAME: CONTACT PHONE: 204,-73O-4554 <br /> . D6N415 CONTACT EMAIL: DENA!18.1.Kow k1 'w'1T. ( OIi l <br /> AGREEMENT:T hereby certify that t have read and examined this application and l noWiha same to be true and correct AU provisions oflaws and ordinances governing this <br /> type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authort(yto violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That 1 am authorized by the owner of this properly to perform the work for which application Is made and I <br /> complyatth the State Contractors Law 18.27RCW and 288.200 WAC <br /> City of Everett Official Use Only <br /> FEE <br /> 1.1 179E a.1 <br /> PERMIT# <br /> i/i. At.// / 7 0_9. —istE E0 <br /> Owner A 1 or r ed A.en Signature Date (Revised 10/12/2015) <br />