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...5°'? 7/ <br /> • <br /> ELECTRICAL PES' MIT APPUUCATI N • <br /> CITY OF EVERETT PERMIT SERVICES •• <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.govlpermits <br /> �,.?,. :_ _ :ti:' :�5y.,::i.f.-q 7.•>. .a• J� tiw^....-•,;; ..4,. ..,�. -h..•..,:n ,..{.•-:"�' ,,, :<r'r•:�' <br /> .:5: .J:, i. .. .. t:};•Y:ti R+ry].SY. .,:�.:.u:Xi 'J 4't�'t:it•K..h.t•',t:IfV\i:T:. .:. .. . ....•_..._. ..� .- � _ <br /> PROJECT ADDRESS: J �e L -tX ,/ ��� � ? <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: El SFR-DETACHED El SFR ATrrACI-I-►•EDD 0 DUPLEX 4 MULTIFAMILY-#OF UNITS: NI COMMERCIAL <br /> USE OF BUILDING: Q S G EV -e_.G 1 ! <br /> �'�.,�ik•.:'•d3'•^.may�.':'T�1t,A i...:• `-li.•`':•i;larn •.n't7tiv� waJ++t.rv:.•.. y..•.a-t.-.-IJ..Yet•...::_ ,n..................•e,•-e':"Y='t.1t•.� .atf4: :.aY.y.+r•?,���cir..-:Sl•• �F'n4 <br /> 3.;g,1919,1319,Atk...40 0/ <br /> :?ter•.. .z :,4�i}:.a....�.'i:....,.,. ......... .a'S'.4:.. . _...t.�.r•r.gr.l". '•it:,l••:..,-��•1c9.M•-a'>O:•x•:e..•..Vvn.3.'.�_�.�.:�ti90 tt�.I.•:�:ie.xKtht.{'.•.��.s.69ji:.,.iy�st'y'.tt}j' <br /> CONTRACT PRICE OF WORK:$ /�O,200 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? D YES l NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: - 1p/2E/314'/DDD / /( 2 <br /> • <br /> • <br /> .. .: : • COI1y1`ACT:INORIVIATOIiI <br /> OWNER NAME: TENANT NAME(If Commercial): 1:3M7106 <br /> OWNER MAILING ADDRESS: STREET Pa &')( 37/)7 <br /> CITY ra5aerriE STATE Wit aRge24"-2207 <br /> OWNER PHONE: OWNER EMAIL: • <br /> CONTRACTOR NAME: _.. (4e,064.4L, eau5neve_rIt7k). . .. .�. .. » <br /> CONTRACTOR ADDRESS: STREET Pa BOX 4467 p <br /> CITY ) )J, / //72 STATEV(/1(/-f v?qg2, LL/ <br /> CONTRACTOR PHONE:426-294- J944 CONTRACTOR EMAIL: k�'Jea 144h1/4E-g&jk IEW CD/Y) <br /> CONTRACTOR LIC.*REQUIRED): (��/U t✓/eC - s 401 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):0405 <br /> PRIMARY CONTACT: D OWNER E1 CONTRACTOR CI OTHER(Please Specify) <br /> CONTACT NAME: p ',r CONTACT PHONE: 20 ^73b--�jtj'54-47 <br /> Iy+ <br /> D64IS 6eov CONTACT EMAIL: DENA/ S.�.1�OLJ ki UI/tlT. �Ol� <br /> AGREEMENT:T hereby certify that I have read and examined this application and knowihe same to be fare and correct AlIprovisions of laws 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 authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That l am authorized by the owner of this property to perform the work for which application is made and l <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> Owner/An or zed Agent Signature Date (Revised 10/12/2015) <br />