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141;47-r ELECTRICAL PERMIT APPLICATION <br /> CITY bOF EVERETT PERMIT SERVICES <br /> 3200 CEDARE <br /> STREET, EVERETT,WA 98201 <br /> (P)425-257-8810wwvv.everettwa.gov/permits <br /> 425-257-8857 1(E)everetteps@everettwa.gov I ww .everettwa.gov/permits <br /> • PROJECT SITE INFORMATION r <br /> 1� <br /> PROJECT ADDRESS: .3-. 00.3- <br /> WEST 'CA f?!O gOAEi/ ¢WA 9820 ,. . e rr <br /> / .... <br /> BUILDING AREA(if residential,new construction,remodel,or addition) t./A SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: Mat-.tUFACTUVt:Ir1C� <br /> - ELECTRICAL APPLICATION:INFORMATION - <br /> CONTRACT PRICE OF WORK . 4' <br /> NUMBER OF DEVICES(if low voltage): N/A <br /> FIRE ALARM? ❑YES wErNO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): NIA <br /> DESCRIPTION OF WORK: 7e-Mpergoi•,7.f derg)s.'TaWC 1707U pOW07 SeAALCN WP.C.Uir MobifiCAT1ONL, <br /> 4I& T JJ-r6/46-FiC,L'OTIE)RE"PL.Aceme?..)T/1z.EPt11p8fSlb t <br /> DEV(CE(OA/E-Fe °L-OA/E)/2EP# M'EMEALT . IAIS7A LL GFa/ ,$l2EJIflt S <br /> eks.*3z43/0 <br /> • • CONTACT NFORNIATION :. . ...,,.. : - <br /> OWNER NAME: $b-e-/Ala TENANT NAME(If Commercial): Z/G <br /> OWNER MAILING ADDRESS: STREET Po 8D)6 3707 <br /> ens SeAr7-T"L.E STATE Wif4 ZIP 98/24•-2207 <br /> OWNER PHONE:3/2.511..2=0 OWNER EMAIL: A.VA <br /> CONTRACTOR NAME: S -q Oy4 4 a7...04.-770.J 6_ LLC,. <br /> CONTRACTOR ADDRESS: STREET /5/35 NE 9.2/Jb 6772E7- <br /> CRY RebMC7.17a STATE WA ZIP .gV3052.CONTRACTOR PHONE: 125. 8/4. X0000 CONTRACTOR EMAIL: .9°j"N•LebicIllSer>691,t4,16c111•CcsYYI <br /> CONTRACTOR LIC.#(REQUIRED): SE-QUOEL 977x9 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 10416 <br /> PRIMARY CONTACT: 0 OWNER i ja/CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 42,5.2_24.2515 1 <br /> .JIM At.41) SO1.1, GEtE¢ t-Fa12EMPd.1. CONTACT EMAIL: Jtrn AYtAe.[;5ot�t� 6mLo1�. CVt 0-enn; <br /> AGREEMENT:t hereby certify that!have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> of work win 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 slate 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 8 ER 8.2.2.ie El zbg ` ' z, <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2018) GG <br />