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--! ELECTRICAL PERMIT APPLICATION <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: (007 5C egere-W mall 1, &L 7 <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: )l COMMERCIAL <br /> USE OF BUILDING: �6�mQX � <br /> C `reAaA 1 <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ <br /> NUMBER OF DEVICES If low voltage): I <br /> FIRE ALARM? b(ES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: h54--611 CIZED SI511 LS pIG.C..( <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): liq((Al (A)ay (Cr((e-1- <br /> OWNER MAILING ADDRESS: sTREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> 22 nn <br /> CONTRACTOR NAME: `I:J1 e T ‘515y1 5ery j Ct..S <br /> CONTRACTOR ADDRESS: sn cET //(c422 i . P hp.-1 I &7`ft X2341 <br /> crrY FY) I I I c eK STATE IA/A ZiP 1 it <br /> CONTRACTOR PHONE: 61a S. 3?kj,R)(p( ) ICONTRACTOR EMAIL: hbtS t3n.se_,,yron. Corn <br /> CONTRACTOR LIC.#(REQUIRED): 9)1-5 ts$. q`C©f Q CITY OF EVERETT BUSINESS UC.#(REQUIRED): 05 5 ka L <br /> PRIMARY CONTACT: ❑OWNER L CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: r��+� CONTACT PHONE: L/25 .�j 1 b6 <br /> (f CONTACT EMAIL: b (5 OmS n , Camel <br /> PERMIT# <br /> dr, OP 917. [ E So - I (QC <br /> 4GREEME •:l hereb certify that f have : d and ex- ned this application and know the same to be true and correct NI provisions of laws and ordinances governing this type <br /> of work will be eted whether specified -.-1, - not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> 'oval law regulating construction or the performance of construction. That lam authorized by the owner of this property to perform the work for which application is made and I <br /> reectoWedearissubeqpn#ESIgeetusenin ROW and 296.200 WAC. Date .(Revised 9/2312016) <br />