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igrr ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 f(E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> .: :; .1P1tOJEGT SITE INFORMATION -7.' - • ;.'� • <br /> PROJECT ADDRESS: 3oo3 WEST i 4siMO PDA? EVA' WA `62-• .. Yaw .. .,'xt v". <br /> BUILDING AREA(If residential,new construction,remodel,or addition) kVA SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 1OMMERCIAL <br /> USE OF BUILDING: UFAC W ING <br /> . . ,_ , „ AP <br /> "ELECTRICAL PLICATIONII FORMATION 1...,:.-:: . <br /> CONTRACT PRICE OF WORK <br /> NUMBER OF DEVICES(if low voltage): NIA <br /> FIRE ALARM? 0 YES t,O'NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): NIA <br /> DESCRIPTION OF WORK: rempciArgy daxlsra.UC-nenJ POWEV7 SieAnLC! a-II.Wir Mol lFtcATIog, <br /> I iewar,Al --Fd7L aThr)RE7DLA•cemexYr/i FVR13t i <br /> DEV(CE(014C--Ft7L°-014 REPLAL-EMEALT +0 /N.1-TAU- GFC-/ /3IPEitie <br /> taui34k324310 <br /> . • . .. :. . - ONTACT NFOiRMATION . ':',-,::'1,1':`-'.::::',2::.'',: •.. ._ :=. <br /> OWNER NAME: .E'/wfG TENANT NAME(If Commercial): ,SD"T7%(G <br /> OWNER MAILING ADDRESS: STREET PO boil 3707 <br /> ern .SEAT-TUSTATE WA zip 98/.2 -2J47 <br /> OWNER PHONE:3/z.Safi. .2 1:10 OWNER EMAIL: /44 <br /> CONTRACTOR NAME: .Se-QUDyM0 6ZELt-Th1G 1.4.C- <br /> CONTRACTOR ADDRESS: STREET /5/.35 NE 92...A113 .S7 EET <br /> COY REbMCO•th STATE WA ZIP 9805.2 <br /> CONTRACTOR PHONE: 1Z5. 8/4. d0000 [CONTRACTOR EMAIL: •gelhy.loes1Qrt er eityteiJ►.0-01Y1 <br /> CONTRACTOR LIC.#(REQUIRED): SCOVOEL 977x9 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 16645 <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425,2229.£545 <br /> JIM Atdber.501 , GENERAL_Fate.EMAd.I CONTACT EMAIL: ;t rvi•anclerson0 5Ccluc di• C.eyvvi <br /> AGREEMENT:I hereby cedily that 1 have read and examined this application and know the same to be true and correct.Ali provisions of laws and ordinances governing this type <br /> 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 I am authorized by the owner of this property to perform the work for which application Is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> GARY A B ER 8.42,is E ` 0Z -\10(0 <br /> Owner/Authorized Agent SignatureDate (Revised 9/23/2018) <br />