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•2-7/ .eol <br /> ELECTRICAL PE1-1IIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-267-8810 J FAX 425-257-8857 I (E)everetteps@everettwa.gov J www.everettwa.govfpermits <br /> • <br /> s. , .•:F.: ... . . r. .... ..., e <br /> `V <br /> ;.::ti•^ ...l3•...t_., u.-....,:. <br /> PROJECT ADDRESS: <br /> ^ ,e""`" <br /> BUILDING AREA Of residential,new construction,remodel,or dition) SF <br /> BUILDING TYPE: 0 SFR DETACHED ❑SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: )54 COMMERCIAL <br /> USE OF BUILDING: d� /4G <br /> p A <br /> ,1 <br /> ,- - EE '@GT C.�•1 ��•hLN�• A- -1� �•ORNiA..THrQN '�•. �,; . `,.'`-�. <br /> ♦... . . .... .... .. 1 .. .:i..... .....•�T',S�:s .n',..:NeY..1.:.aQlY..a-O 1...:L'i. ..-��.e.A:l�.-��iVt...,aC.3n.: 4.T.si...�`F,'...«..-`.th'n:.= :ft�'....1.•:iL...J-..-A.. 1.-.t-:..11.�.. <br /> CONTRACT PRICE OF WORK:$-.,• ,�� F • <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ©YES NI NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: �2 /; `E 14 H4 Olt,, rry 777A <br /> • <br /> "777 X z & ,cro/ J . e' . <br /> • <br /> • <br /> • <br /> OWNER NAME: TENANT NAME(If Commercial): $CEfil)6 <br /> OWNER MAILING ADDRESS: eraser 17 &7)( 3707 • <br /> /,Q Q <br /> cm? .5 ITLE STATE Wilt ar /if 2 2267 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: ive? ea.35n .Gle.ro/v <br /> CONTRACTOR ADDRESS: STREET P© $OX 4/, <br /> crry ruin? /1_7E67 srATa{rl/4 ZIP9S32D`7' <br /> CONTRACTOR PHONE:426'214 <br /> 4 4q 44 CONTRACTOR EMAIL: ki+€j NAM , 'w!r, &?/Y) <br /> CONTRACTOR LIC.#(REQUIRED): agAieeCC y7"oZ CITY OF EVERETT EIUSINESS LIC,#REc1UlRED): 105 <br /> _.:......w.«.,ru.,..rsr..A...3.......aw�....>•.,.e,..-...a.�.•... .,,.+...nom,..� .�. .....u...3.r...., ....._..5..,.a..w-w.ra,..wrew,�.,..-. <br /> PRIMARY CONTACT: 0 OWNER NI CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT}}�� NAME: 1 CONTACT PHONE: 2 ,�1-73Ab-r�,p't544' �/ <br /> . D iJr415 Lf�b�l{/ CONTACT EMAIL: DENA'is,6A0L kind,T. C.cm <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct All provisions 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 1 am authored by the owner of this property to perform the work for which application is made and 1 <br /> comply wills the State Contractors Law 18.27RCW and 20.200 WAC <br /> City of Everett Official Use Only <br /> FEE <br /> +/t 011, rk" <br /> PERMIT <br /> Owner/ a or zed AgsntSignature Date (Revised 10/12/2015) <br />