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)2fi . 71 , yf . <br /> "IP°‘/00$1,/-/----‘ <br /> ELECTRICAL PERMIT APPLICATION <br /> _ - CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257--8810 f FAX 425-257-8857 J (E)everetteps@everettwa.gov I www.everettvva.gov/permits <br /> i - :.:•. f i :• .•.f„a •,._t.. -.. , <br /> PROJECT ADDRESS: Li C4," �1 1 6 t f' 41 '$ 00( (kV) 71 <br /> BUILDING AREA(If residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: EI SFR-DETACHED ❑SFR-ATTACHED III DUPLEX El MULTI-FAMILY-#OF UNITS: 14 COMMERCIAL <br /> USE OF BUILDING: ,0E1G EVAN TT • <br /> .. IFS@G'TR� C��p ,7P�.&+�A'1�10'■��{,1��OI�Mi�T1sON <br /> ....v..... ti.. .,,... .. i .. ..i..... ..3 .n ac,L•w a:s,:r.v�cT!,,2:u:. s ..K a r.t`LI�. 'b:f1•F., vL.... .. .c...? _i,.}.M1i, ±ti rF..: ..-v_i e:..... llc.}.'. . <br /> CONTRACT PRICE OF WORK:$ : ) ( 0 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? El YES 74 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: orvl ,.. ( :)ox 47.5T <br /> 777Xii)t 1)Y , eft) r v� <br /> • <br /> o.,-z. -•• . . . : . _. ,. - ._GDI�TACT;IN�OAT)fON:•`., ... . . .. .' . ,. : . '. ..� . . . �,_.r ,.. <br /> BCE <br /> /A.)6 <br /> NAME: TENANT NAME(If Commercial): D /A.)6 <br /> OWNER MAILING ADDRESS: smear PO sox 377 <br /> cITr <br /> .5eitirLE STATE VVAL Z,83/22/-2207 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: (. idE, - , eno5nZ ue..-r.2,t <br /> CONTRACTOR ADDRESS: srEer Pa 60x 41, <br /> CITY ml/(�Jt!/Gt 2 STATEIf1M .18'26 <br /> CONTRACTOR PHONE:4 6-294-&944 CONTRACTOR EMAIL: kA'/e,�. imnmERN ra earn <br /> CONTRACTOR LIC.# QUIRED (,.7gr V� TIO Z CITEVERETT) USINESS LIC.#(REQUIRED):OIO592_-..4 <br /> PRIMARY CONTACT: I]OWNER El CONTRACTOR Cl OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2124,-" -‘0,54 <br /> DeN ls4 15 C&b UI CONTACT EMAIL: DDNN I S.CAeow a k'i i t i i. 6otM1 <br /> AGREEMENT:T hereby certify that t have read end examined this application and know the same to be true and correct All provisions of laws and ordinances governing this <br /> type ofwork wltl be completed whether specified herein or not The granting of a perm*T does not presume to give authonhyto violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction, That!am authorized by the owner of this properly to perforin the work for which application is made and! <br /> comply with the Slate Contractors Law 18.27 RCW and 296.206 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> )0 59 <br /> tip ° <br /> PERMIT# <br /> :/i, A .// / 5-2 /5 E 1M9- <br /> Owner Au i or zed Agen SIgnature Date (Revised 10/12/2015) <br />