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477 &ECTRICAL PERMIT AFLICATION <br /> CITY OF EVERETT PERMIT SERVICES <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 SITE INFORMATION <br /> PROJECT ADDRESS: 12-0 Se Evexe,t-- McAl‘ \N a �jv vv r 9R2-0P) 4,ksal.cc, <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: 0 COMMERCIAL <br /> USE OF BUILDING: Av-iv.krnerit GO1fmon fi(PGt <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$a,SoO <br /> NUMBER OF DEVICES (if low voltage):g' <br /> FIRE ALARM? 0 YES ANO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Cirri c (*bps fnr netvoek d f vIi c cw posci h2 IP C.afneirCt <br /> CONTACT INFORMATION <br /> OWNER NAME: •FU1iel'l'S (XDWn Q: COY $ TENANT NAME(If Commercial): - <br /> OWNER MAILING ADDRESS: STREET t r, tQXVAT ak r v VQ. <br /> CITY�yf2�f j� STATEWk. ZIPitSW� <br /> OWNER PHONE: �7 1�7) SSL -043/ OWNER EMAIL: <br /> CONTRACTOR NAME: y F IQliM TQCNV\01,1)6 L-- <br /> CONTRACTOR ADDRESS: STREET €4I( 3o�n `fi h1 Tacoma wakl <br /> CRY 1 Q,(,{Jm a. STATE •V ZIP q 8 • <br /> CONTRACTOR PHONE: (2S3)8( i --3113 CONTRACTOR EMAIL: jo,,,,Cs ,s--akc Ym t-,CX).(Dm <br /> CONTRACTOR LIC.#(REQUIRED): cPk(—I'.oT'$i-vu®al CITY OF EVERETT BUSINESS LIC.#(REQUIRED): /S1341- <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: JO;meSr CONTACT PHONE: (2,G-6)601 —3113 <br /> CONTACT EMAIL: 3am,5 @ S-C�-�o T l itch ,con-, <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 /> __,�- ► - E — `3 <br /> Au orize• g- -' ure Date (Revised 923/2016) <br />