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.-•-- ELECTRICAL PERMIT APPLICATION <br /> ,is r fr,..._, , <br /> I�►�, 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 1 www.everettwa.gov/permits <br /> =_ PROJECT SIITI IIMFORiNII tioti <br /> PROJECT ADDRESS: 6301 E rip } l I. 10ti 4*(9-0 <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:___ COMMERCIAL <br /> USE OF BUILDING: comwy ror..1A <br /> ELEc! CAI APDL KATIO0NFORMAT1ow . -w , <br /> CONTRACT PRICE OF WORK: $ 8 <br /> NUMBER OF DEVICES(if low voltage): I <br /> FIRE ALARM? N YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: t 1S+r,,\t ( `) LE 1) Sty disc) ICt <br /> ONTACT'!MFCRMATI N <br /> OWNER NAME: TENANT NAME(If Commercial): elP? 1.1 V 6 Aa at n <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: vje b T 5w-in Sexy L GC-3 <br /> CONTRACTOR ADDRESS: STREET 1142 ..' a o et,( eiv -r' y F 229 j <br /> CITY M I l,' 'iK STATE/ W A ZIP CifP3101 a <br /> CONTRACTOR PHONE: 9,59.5, 330,A ib() 'CONTRACTOR EMAIL: >b-i-stg hsc 7Y)s p, cc..)6) <br /> CONTRACTOR LIC.#(REQUIRED): 13PTs LW 9 cin PO CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 055 1 U 9 <br /> PRIMARY CONTACT: ❑OWNER JNTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: ,ani CONTACT PHONE: 425: 330, 8)to 0 <br /> CONTACT EMAIL: (h.-4'Si j ncS Jn S)1 I can <br /> ' / <br /> PERMIT# <br /> ‘2,,t, - ,,..1 q• 3C�-19 E [ Sct5- 0097 <br /> AGREEMENT:I h by ce that I have re:•and examin d 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 co feted ether specified -rein or n•. 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 c ruction or the perform. - • construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> Cetaxtratitlhkatita egpiathseirsalsw.e/8.27 RCW and 296.200 WAC. Date (Revised 9/23/2016) <br />