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OrErr ELECTRICAL PERIVIIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 l FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> ;PROJECT ADDRESS: 3C O 'reN 1✓i2Qt L PG _ L.t) \C V C I <�D3 <br /> ;BUILDING AREA(if residential. new construction,remodel.or addition) RQ:1w-e*,-ir SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS. Ca-COMMERCIAL <br /> USE OF BUILDING: Gll(a.,('d\O <br /> A l ECTR[CAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:g LO, S t 0 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES LINO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: ^oi'O r^ism 1-R-4(-A+ H L;) -40C <br /> CONTACT INFORMATION <br /> , CA E <br /> OWNER NAME: l"<Co ��ca j m ;�.�T TENANT NAME(If Commercial): LU�r�'1�" LLQ <br /> OWNER MAILING ADDRESS: STREET : k)R }c\.�) <br /> t{ z' q�y { <br /> CITU Re �?Com. STATE `'�`1-)1* 71P `S tid J l <br /> OWNER PHONE: ,D0 .`13 --3a.ak4, <br /> �Te J, ti 3 OWNER EMAIL: <br /> CONTRACTOR NAME: CAPITAL LIGHTING COMPANY INC <br /> CONTRACTOR ADDRESS: STREET 287 SW 41ST ST <br /> cry RENTON STATE WA ZIP 98057 <br /> CONTRACTOR PHONE: 425-251-0244 CONTRACTOR EMAIL: nancyhall@capitallightingwa.com <br /> CONTRACTOR LIC.#(REQUIRED): CAPITLC866RS CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 025837 <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-251-0244 <br /> Nancy M Hall, Controller CONTACT EMAIL: nancyhall@capitallightingwa.com <br /> AGREEMENT'I hereby certify that I have road 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 98.27 ROW and 296 200 WAG. <br /> city of Everett Official Use Only <br /> PERMIT# <br /> i A 1 / I E c 2 - oc <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />