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r.IE 1 II . , <br /> , <br /> 01004!00::__ <br /> ELECTRICAL PERMIT APPLICATION <br /> ./A14140/1 CITY OF EVERETT PERMIT SERVICES <br /> vill 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.govipermits <br /> PROJECT SITE INFORMATION <br /> ...- <br /> PROJECT ADDRESS: 71311 . s, ° I I il <br /> „ , <br /> (, 20 k re12,I _ ' <br /> BUILDING AREA Of residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS; U. <br /> fitC MMERCIAL <br /> USE OF BUILDING: f)14,111 . . <br /> , <br /> ELECTRICAL APPLICATION INFCIRMATION <br /> CONTRACT PRICE OF WORK: $ <br /> C.) <br /> NUMBER OF DEVICES_Sif low voltage); <br /> PRE ALARM? 0 YES 5i NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable : <br /> DESCRIPTION OF WORK: °zit' IL I 4.if' tit% It0 4i. i.6.1 fiLA eL Ai 'AS it '....„ .# <br /> I <br /> ..t <br /> ) ' ' all A l'IIIIIIIINIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIM oi . , . . e4114 , '.A. <br /> - .. • <br /> „ . <br /> r0014TACT INFORMATION <br /> , , <br /> OWNER NAME: TENANT NAME(If Commercial). lit‘A ' tnrie‘iiI4*# <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: TOWNER EMAIL: <br /> CONTRACTOR NAME: at ,e„Li. t- 6,, rit , <br /> CONTRACTOR ADDRESS: 1 U T REET d . ,rr,, , i - ik p1ri,A <br /> )y , <br /> CITY STATE (1 ZP„.. .... a <br /> CONTRACTOR PHONE - 54$/-A 0. lO <br /> -JNTRACTOR EMAIL: ' ' i 0 gi fli 4111111AMIMM` <br /> IISTrritrAl/11711711, <br /> CONTRACTOR LIC Seo ry ' CITY•OF EVERETT BUSINESS L1C.t 0 <br /> ......... <br /> PRIMARY CONTACT:” 0 OWNER Iiir CONTRACTOR 0 OTHER(Please Specify) _ <br /> CONTACT NAME: CONTACT PHONE: qas- ;„7 -)-015 b <br /> CONTACTEMAIL <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct Al!provisions of laws 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 property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 236.200 WAC. <br /> CO of Everett Official Use Only <br /> FEE <br /> em 0 <br /> U . <br /> _ Ailir PERMIT# <br /> ' -millillifIlIr A-4-4 <br /> AerAiliPre <br /> ,fifig V-/A - <br /> ...., E 1 9)() - \ <br /> Date (Revised 10/12/2015) <br />