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tLECTRICAL PERMIT AF*LICATION <br /> eP•44%.F---a <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION - <br /> PROJECT ADDRESS: 7407 E re.en <br /> BUILDING AREA(if residential,new construction,remodel,or addition SF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: %COMMERCIAL <br /> USE OF BUILDING: ien-i-- <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 57C;t7. 00 <br /> NUMBER OF DEVICES(if low voltage):�-� <br /> FIRE ALARM? 0 YES 13N0 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: cy* �yyL� <br /> --etc s 'C- �✓ � e'/lie-2 z 1�-fid- <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET `?7 O ,v � tit./ 4..4 <br /> cnY -.1/45,e6rr STATE I ZIP <br /> OWNER PHONE: ^ OWNER EMAIL: <br /> CONTRACTOR NAME: .sc')P1 Nr't,f` -IVAC_ 4- 7P...0 r,le_ iLl <br /> CONTRACTOR ADDRESS: STREET j1/ ) <br /> CITY .5 e__ '��"'•'lI STATE 444 ZIP 9/6 <br /> CONTRACTOR PHONE:1/Z6.-28-3- €.201,1) CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): ,5OpgaVE Ell&q LCA CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 5 ects 7 <br /> PRIMARY CONTACT: 0 OWNER PECONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: Gov CONTACT PHONE: y 25 - 4,4G .3651.1 <br /> CONTACT EMAIL: ,544ty b 4Li0et .r'hiteICG. C <br /> AGREEMENT:!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 /> /0/2-0/) E t - C gi <br /> Ow(►er/Authorized Agent Signature bate (Revised 923!2016) <br />