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ILECTRICAL PERMIT AMILICATION <br /> `11111 ..:- CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 j FAX 425-257-8857 j (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2.433 COtl3Y ANC <br /> BUILDING AREA(if residential,new construction,remodel,or addition) 50, a00 SF - <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: XCOMMERCIAL <br /> USE OF BUILDING: Cd <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ T 2.c., 000 <br /> NUMBER OF DEVICES(if low voltage):- T <br /> FIRE ALARM? 0 YES WO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 7 /,4t/f MVIVIA 1444ear.6 RE'LFpngl ,S� c MC 14 rtf <br /> G-/Gt iow4 , R L44F 4vnet,V T O p, E-L., tTt. . <br /> CONTACT INFORMATION <br /> OWNER NAME: FV N KO TENANT NAME(If Commercial): FUNKO <br /> OWNER MAILING ADDRESS: STREET 2.0 0 Z IA erni D nr A 1�/ <br /> ! <br /> (HEMI RAY) env at�` STATE rV ZIP g ilo' <br /> OWNER PHONE: 2.0 b• -• S .Z?8 Z IlbWNE EMAIL: held/d� 'fujtko .corn <br /> CONTRACTOR NAME: P(ZEFE1ZREO EL avtAC <br /> CONTRACTOR ADDRESS: STREET diNsy 7712.0 <br /> o CITY 5%111 STATE ZIP f/f/7 7 <br /> CONTRACTOR PHONE: •499. 6691 CONTRACTOR EMAIL: je rreprekreed Jeef•,�c. V5 <br /> CONTRACTOR LIC.#(REQUIRED): PREPal:12SP,- CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 04 765"-k) <br /> ......o,..��.w....:_:.:s.:. .—..�.,�..�,.._.�..u.,._-.,n, :..,....u...�,.,.....-.�-.,,—....e=__. _.�....,..,..�....,.�..-..-,...,.o-,...�,,..�.-....,.u,�..,.�....,.,�r M-.:..__:.. :w. ..........�__4-.v n, _u <br /> PRIMARY CONTACT: 0 OWNER 1>CCONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: I u2 S . � c9. 5 2 . ( <br /> "3�'T Thy LOr2 CONTACT EMAIL: sco/,a pfG I1red e/CG • is <br /> AGREEMENT..T 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 <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 /> ;1. 4ps-- <br /> PERMIT# <br /> , 4/1 iVits E j504(.. (2.6, <br /> Owner/,. thorized/ - signature Date (Revised 90/92/2095) <br /> i <br /> i <br />