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/1/41J-4- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SI`rE IIJFC R2MVMATION <br /> PROJECT ADDRESS: 306; W CA, no Rd,, Evtee 1 t WA ($101/ 46-11 / of Ii` e j <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF •! <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: WCOMMERCIAL <br /> USE OF BUILDING: ?)(-)C1 h <br /> - <br /> ELECTRICAL APPLICATION INFO• RMATION <br /> CONTRACT PRICE OF WORK:$ .)„9 103 . 6 S <br /> NUMBER OF DEVICES(if low voltage): a., <br /> FIRE ALARM? 0 YES t$.NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: ?L)t)I' ,n I n ./ Cat �a A n f„ I ber L <br /> Qp <br /> r-li +Key U Ir b U!l I>1 o Sv tort i cd ec • I <br /> • <br /> ,CONTACT INFORMATION. . - • <br /> OWNER NAME: oe 1h TENANT NAME(If Commercial): B <br /> OWNER MAILING ADDRESS: STREET 003 y4 Coa.s r r 'f -'` 73 r <br /> CITYLxitreif STATE VIA ZIP //� <br /> 1.0/4 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Nei'C-ons LA,C. <br /> 3I � p <br /> CONTRACTOR ADDRESS: <br /> STREET !b a, 1-140.A In,r;/ <br /> CfY FRAto STATE M D ZIP 6 3.D1.b <br /> CONTRACTOR PHONE: 10L,-32(1. ,5076(j CONTRACTOR EMAIL: \ IrhJn� C.(OrY� S f' , Co`h <br /> CONTRACTOR LIC.#(REQUIRED)• 1p t ( CITY OF BUSINESS LIC.#(RE UIRED): .j,S) <br /> . 0 � Q <br /> PRIMARY CONTACT: 0 OWNER >t CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: rCONTACT PHONE: .),DC, <br /> 6 - r- S 074 <br /> --Sorterl.. Y\ CONTACT EMAIL: a I 3 rk 0-1_0 s f i • C-: Y`^ <br /> AGREEMENT:T hereby certify that I have,read and examined this application and know the same tome Joe 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 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 /> FEE <br /> PERMIT# <br /> / E c So& —00-7 <br /> Owner/Autho"zegVntSi7.ture at (Revised 90/92/2095) <br />