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(gir ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> . ..... . . ' :... .:: :` ';• ROJEOT siTE INFORM tiON <br /> PROJECT ADDRESS: 3003 WEST e.Asf,Jo 4tAca, EVER TT WA 9820¢ n: m '7& <br /> BUILDING AREA(If residential,new construction,remodel,or addition) A SF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 1OMMERCIAL <br /> USE OF BUILDING: MaNUFAC"rOW--11 LG <br /> . !'f.:'::, ..:: 1: •ELECTRICAL.APPLICATIONINFORMATION . . ; _ .-• . <br /> CONTRACT PRICE OF WORK. • , <br /> NUMBER OF DEVICES(ff low voltage): N/A <br /> FIRE ALARM? ❑YES ,,ErNO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): NIA <br /> DESCRIPTION OF WORK: 7MPoz.4-.ey dcrOsTgverml p rheic, 8reAi LCI4 GRCUIT MO'tiPtCAcT 1Ol ty <br /> I-iC• rmIG( E F)x--074,eEPL-hceMeWILET-ORBrs1#4 <br /> -- DEVICE OAIE-.: -OME)'I2ePL __m__gwr ' /INSTALL GFC/ BL2EJ� S <br /> . ... : . .. . . ._CON, ACT:JNFORMATION '. .: ._. .,.. : 1::-,:.-,!.', <br /> OWNER NAME: BOre7Ata TENANT NAME(If Commercial): &D/1G. <br /> OWNER MAILING ADDRESS: STREET pp 6p)L 3707 <br /> cnY .SEA•TTL. STATE WA ZIP 98/2 -2Zo7 <br /> OWNER PHONE:3/2., oo <br /> 41. 2D OWNER EMAIL: LAVA <br /> CONTRACTOR NAME: ,Se-e)IJDyAl.t et...ELt 7-RJ6 L.LC.,. <br /> CONTRACTOR ADDRESS: STREET �yA6Ass.We 9z Sr,2EET <br /> CRY Iceismco.b STATE WA ZfP 1.8o52. <br /> CONTRACTOR PHONE: ft5. $/4. 6000 CONTRACTOR EMAIL: 301:4.I (eilgerCvEetikeili.t )'yl <br /> CONTRACTOR LIC.#(REQUIRED): se�voEL 97759 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 'gegefiJ <br /> PRIMARY CONTACT: 0 OWNER jeCONTRACTOk ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.2.2s1.£5i5£5i5J tM AN/beg50Ni GENIE¢AI.1+"ai EMe L CONTACT EMAIL: 3i mi.A vta1emo rl a `uoa i• Cw <br /> art <br /> AGREEMENT:I hereby codify that I have read and examined this application and know the same to be true and coned All provisions of laws and ordinances governing this type <br /> of work will be completed whetherspecilled 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 aulhorhed by the owner of this property to perform the work for which application Is made and I <br /> comply with the Stale Contractors Law 18.2T RCW and 296.200 WAC. <br /> City of Everett Official Use Onty <br /> PERMIT# <br /> GARY A a ER 8• •/e E \,%0c . ' <br /> Owner/Authorized Agent SignatureDate (Revised 8/23/2016) • <br />