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(#1•Err. 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 1 (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> qilka Zn <br /> PROJECT ADDRESS: a 7 a? C QL By /1 -, S ir6 /306 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF OO ,fir <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: „t�j COMMERCIAL <br /> USE OF BUILDING: <br /> 3,x;,4,,,,, ` ,,, „•,tC ... .�.. .> a ,. t. .,v, <br /> CONTRACT PRICE OF WORK:$ '5`6 <br /> NUMBER OF DEVICES(if low voltage): 401, /15 <br /> FIRE ALARM? ❑YES 1:81 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: L-6 141 {/i L &k- C 1 G 1 N6 <br /> r ,.:,,r f.@ hi _ OR AT)O a�a1. � <br /> N <br /> ..cam � . aen�� •\._,. =.,r.. ��r•>:��_. �.5r,•. .,r� <br /> OWNER NAME: TENANT NAME(If Commercial): D Tel 5 A.) <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Si 4 g G✓g 1-6 C7(4 d L OCA/L-S, TWC <br /> CONTRACTOR ADDRESS: STREET <br /> .30 <br /> CITY 71:/46-e4, STATE //) <br /> ZIP 0.91 <br /> CONTRACTOR PHONE: / 5S Qlf .1a0 CONTRACTOR EMAIL: S ek vld c 4:i)Sr4-(eCA TE Tx., Giat, <br /> CONTRACTOR LIC.#(REQUIRED) ,LC 5T40e 2- CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 032635" <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: 2,0) CONTACT PHONE: ��p -yl q /7.-3 � <br /> d U47-44 1 K� w.Ce-S•j t(J CONTACT EMAIL: SO It/Weil) S-T A Q.e-A rt.,, CO <br /> AGREEMENT:I 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 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 /> )" .k-144r/44A . 4/5% E ( go q -o f <br /> Owner/Authorized A en�Si nature Date (Revised <br /> 9 9 9/23/2016) <br />