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0477 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: _I 7 a7 Eve 1rer a <br /> BUILDING AREA(if residential, new construction, remot el,or addition) 3 3 15 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHEDi0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: L`7 COMMERCIAL <br /> USE OF BUILDING: Dr 40 C!r^>�'l ��5 o 1 cC <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 2_5'000 v <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 1PrNO tt L <br /> ASSOCIATED BUILDING PERMIT#(if applicable): B 1 7 D 5`06 6 / <br /> DESCRIPTION OF WORK: gt' 61,1c/gU Q Ii i,1 1/1 / re.GPp (1GG IPS / ,JIre <br /> ecti)IpW)PeOLti d1ci l 6g rY vl - 66r-- b a nC es <br /> CONTACT INFORMATION <br /> OWNER NAME: Lj Pc)1/ e O r 6 clo n fC 5 TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: 6 t)c (1 E/PC fifie , //(6 r <br /> CONTRACTOR ADDRESS: STREET/ lj 72 y /L�f /fv e A/6- <br /> CITY ✓pr-e71--71- STATE /414 I ZIP Ig25-8 <br /> CONTRACTOR PHONE: /Z5 3S77€b3 71 CONTRACTOR EMAIL: va 1, J-ye/ec f (This 7Cis l IBCA! <br /> CONTRACTOR LIC.#(REQUIRED):( UAL./E-P79706 CITY OF EVERE7fr BUSINESS LIC.#(REQUIRE .j )cDS( <br /> PRIMARY CONTACT: 0 OWNER ErCONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: les' 3s-9, 637 <br /> {� t/ CONTACT EMAIL: L / _�/^ / %%�� <br /> 1�1Gk 1?�1'�E�f� q/�)G �rT/JeI�GT"Y/C� iLdSt� �%!lC�cowl <br /> AGREEMENT.'I hereby certify that I have read and examined this application and know the same tb be true anicorrect. All provisio!of laws anf..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 /> gedOeigirt 54 7 , 17 <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />