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ELECTRICAL PERMIT APPLICATION <br /> . - - CITY OF EVERETT PERMIT SERVICES <br /> • <br /> 3200 CEDAR STREET, EVERETT,WA 98201 • <br /> (P)425•-257-8810 j FAX 425-257-8857 1 (E)everetteps@everettwagov I www.everettwa•gov/permits <br /> .r?•':i'.•+.w•., '.Ij• ��;•� - l:iS:s :..'�_.�•- •.� `7V�_,6b"...`�.r _ ._-a�..�-•.s•...- vx....-;;: :.ti, _ _ `f.:•' t{!' tir.r. - - <br /> y. +•iG•:+'...+1w.fo-...t.w.+. .. .� .. ..•t .,,R .n=t'•..•....._ •e..e4:J4.FnL:-.^ fa.n•4:...e:• .Ysut••:s:.:i£•La.rl•at•.iai:,.s.t .w _ .. .......•._......_..._. ..� .. �:f!e•{ _ .r.l..(i:3•m <br /> PROJECT ADDRESS: LI O• 4`"4 L! •--ST' ` (� I u.m.l. 17:-.449 <br /> BUILDING AREA(if residential,new construction, remodel,or additfo Sl <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATT-ACHED 9 DUPLEX D MULTI-FAMILY-#OF UNITS: NI COMMERCIAL <br /> lisE OF BTJTLDINC: O6'1' G EVff' TV <br /> "+75'a'�:•r•ai t^'�{.r -rt•;.. _... i •i� v.v..r _.. ,u ..e,.z-,.- J...air.,- - v +'+'s'T�t.�i. <br /> i x n.-:4*+ x-4. �.Y+r i r�V.'iC✓�:,k••••�:i•.•�K:I.$.:.�w,i�iyt:.,t.`•1ti:•lC� <br /> • <br /> CONTRACT PRICE OF WORK:$ b t 0(3 <br /> NUMBER OF DEVICES(if low voltage):. <br /> FIRE ALARM? C.3 YES g NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> • <br /> DESCRIPTION OF WORK: k • .)rn 1.( <.. :. C '6 el )-769 <br /> U <br /> ;•F• , .. . • . O T`AC`!I'INiFORMJ T10 :..., ,:: •; , �_• <br /> • t..v.r.. s:l.}•!{ •4•.. •. _ .. .._�L •.�. � �y3._ ,+;..Y�»a.:.. •P•:. _. _ t .. ••1:. -•h. ...•} <br /> OWNER NAME: TENANT NAME(If Commercial): BC.•E f A)6 <br /> OWNER MAILING ADDRESS: sTREer Pa &?)( 3707 • <br /> `- /a y/� <br /> cut .5gA•'f FLE STATE M{//J 21r�r//2-/2207 <br /> OWNER PHONE: OWNER EMAIL: <br /> 4•+ . MU . n •.. M .ate{ I . • . . !Y �. •..•r f _ •r•p.• i. . •I a., •r r ••- . • {. • . µ .P. +IV r •.. Y.. W . <br /> CONTRACTOR NAME: 4 eritz„ Q�jU5 G��rI 2iL) <br /> CONTRACTOR ADDRESS: STREET Po Box 41, <br /> COY mag/L7 Z STATEVM ZIP 9$2,04 <br /> CONTRACTOR PHONE:426-214-6144 CONTRACTOR EMAIL: kA€,a Hithlin Ef"C& <br /> CONTRACTOR LIC.#(REQUIRED): aoveeceo$ JO Z CITY OF EVERETT BUSINESS LIC.#(REQUIRED):021O,r- , <br /> . .vt•.+t••.'.++hi.•ia....+-+ .../i�.+•mr..rvc•-1••4.+•w....rs.••••..•naarwf.We•+••.•.ur.avrws•m•ow.•..rarca•w•w+vr+n'naevw.wvm•K'+w+•..ovn•rur.ef+s4•iw.arnY��vwt•..wwMn•✓w r%�Tt+..+cYMLL'•.+ <br /> PRTMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2' p6.7315-65442 �/ <br /> DAN 415 LI e.OW CONTACT EMAIL: D ivA,I 1 S,La=Ro�® ki wt/T. 6oM <br /> AGREEMENT:T hereby certify that t have read and examined this application andknowihe same to be true and correct. All provisions oflaas and ordinances governing this <br /> type of work will be completed whether specified herein or not The granting ofa permit does not presume to give authority to violate or cancel the provisions of any other slate or <br /> local law regulating construction or the performance of construction. That!am authorized Lydia 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 end 29&206 WAC. <br /> City of Everett.Official Use Only <br /> FEE <br /> 5. <br /> PERMIT# <br /> ,� ' E (SO - <br /> Owner/Au orized Agen Signature Date (Revised 10/12/2015) <br />