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ELECTRICAL PE MIT APPLUCA I N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8887 j (E)everetteps@everettwa.gov l www.everettwa.gov/permits <br /> •f.of ✓ ,{,�1x� <br /> }. 'L•. r..3.,...1✓. .J. .. t...✓1-....t:..F v a._..... r..v.:J4.9✓LLt:1..Y.4t...�.•w}::•.V•�.. .rtiv^..e.>.t•.I:�i.\yi.. a✓. .. ..... .4a.....t.t...v.e "_ t - _.,.., f <br /> PROJECT ADDRESS: 1—f�}' ErjU p [ O I COY) • " `( _ <br /> BUILDING AREA(If residential,new construction,remodel,or additions' SF • <br /> BUILDING TYPE: CI SFR-DETACHED IJ SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: 10E1 G jV VE 7T' • <br /> '.al a• +'.�+•elr:w: af: •i :•(:11.,1.a- - - ><s...,.,.rv.-. _ ..y,f^ _ ..r<� c. ,� <br /> :1.74; <br /> . ,:, ::� I� ` RN y.n�e.A r- hei V j�^�< i�;{Rry/.�r>lor ,. . ': s ;ti.• <br /> ♦.iSNa.,......ia4.Jin..-...a.•t•.•h.t..f.......�_.a 1•j.F0. �itrt..4•' a•Lsi4�Ci+..\=>V..•Jl�e•l �l�,f•�f�e�..-�ttli •I.J4a • �••i 3 ..- •,•,�11'gt• 1:✓ • �i{�r4li.��v+N ia•I•nt-.tl'�lfJ(� <br /> CONTRACT PRICE OF WORK:$ )"7) ( <br /> NUMBER OP DEVICES(if low voltage):a <br /> FIRE ALARM? CI YES NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): • <br /> DESCRIPTION OF WORK: i ' ,&..) 1 '°�(„7 0— 7 1 to3 _tvic3, <br /> • <br /> • <br /> • ,COf ACT;IN0g4.4:t.! 14:. . .a <br /> OWNER NAME: TENANT NAME(If Commercial): BCE/p..)6 <br /> OWNER MAILING ADDRESS: STREET aox 3707 <br /> ony :5EAITLL STATE 1,4/r` zm 7 /2 2207 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: (2 ,V /1z.. Q/� /� <br /> CONTRACTOR ADDRESS: STREET Po e/O.Xr41, <br /> en 7)14 IL/G(2 �L STA1E{/I/�- 7JP/g2,04 <br /> CONTRACTOR PHONE:426-214-6144 CONTRACTOR EMAIL: kiT,l�i AVIA EAtii k/ w1 r,�JJ&D� <br /> CONTRACTOR LIC.#(REQUIRED: l��� �' C $ O zT nom. CITY OF EVERETT BUSINESS LIC.#(REQUIRED)_Q2IO5 <br /> rnr.+wvisw...•.•w�r n.f•.. ,,...,,w .uw.�.f.,w.. .w,.n n�..aa.o..s.�.,a+.a rv,.aw..,VWV.&.fl...-, �..s+ ..�. <br /> PRIMARY CONTACT: ❑OWNER tio CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: , QQ CONTACT PHONE: 2/96.736- 654LP <br /> ,D -J1114 15 t h�t�utt CONTACT EMAIL. DDJ1 N JS LI K•OW Y / 1E W /I f. LOF)1 <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. Al!provisions of laws and ordinances governing this <br /> type of work wllI be completed whetherspeclliied herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other stale 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 1 <br /> comply with the State Contractors Law 18.27 RCW and 298.206 WAC. <br /> City of EverettOcial Use Only <br /> FEE <br /> 4v/°?5F <br /> ✓ E�i 05_b'1 C <br /> • <br /> Owner/Au or zed Agen Signature D to (Revised 10/12/2015) <br />