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LECTRICAL PERMIT AR3UCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> T <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> • - • PROJECT.ROJCGTSQTEldNlF® E r ��TII®lid::':_ �' <br /> PROJECT ADDRESS: )-OS Lieut. S trk " (C) <br /> BUILDING AREA(if residential,new construction,remodel, or addition) SF • <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ❑ DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: ako oaw•l've._ <br /> . .... ..:.. <br /> `ELEC ;lid)L A P L11Cc ATli* II11441Fri l-r /'T11ON! <br /> CONTRACT PRICE OF WORK:$ ( 6 0. - <br /> NUMBER OF DEVICES(if low voltage):• <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): . <br /> DESCRIPTION OF WORK: V\42.%-4s o c.V ett•%."5�'X �t C e�•�•�-et <br /> 1 <br /> :� COAITAC'ii` 1![tiF®RfVdA'1PlON� : - � • •...:. ..- • = <br /> OWNER NAME: V& -4-14._ 4A„. TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET (357-9 QYoo.��- 1'"Cve-- qf� Q� <br /> C -> e) \�,•r� �, �1 STATE �C^, ZIP (V a/ <br /> OWNER PHONE: q 25 232. lS2_ce OWNER EMAIL: <br /> CONTRACTOR NAME: ca.w-•A�j ` J�'-t/ W Lam`. . .. ;. LAq v..�>1.•C ... .., .. <br /> CONTRACTOR ADDRESS: STREET <br /> / � J <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: {25 336-.761(pCONTRAtt_ j�K-�a.Scoc. , Lea <br /> CGCTOR EMAIL: b� c:.& <br /> CONTRACTOR LIC.#(REQUIRED): 3."-A Mk-SCE-4:1 301,Gia.��a,CITY OF EVERETT BUSINESS LIC_#(REQUJRED): �M j <br /> PRIMARY CONTACT:._Ll OWNER CONTRACTOR .0 OTHER(Please Specify) <br /> CONTACT NAME:2o.e.,7 CONTACT PHONE: (4a•5) 330— (O f'to <br /> CONTACT EMAIL: r;,,,grL ��L `a.„.,„4.S G o i ti C . <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct All provisionsoflaws 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 properly 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 /> • <br /> T <br /> PERMIT# <br /> Own- uth• ed A•- %1•rture Date (Revised 90/72/2075) <br />