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rLECTRICAL 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 /> PROJE T SITE.`,IN ?RMATION ' <br /> PROJECT ADDRESS: b7 1 rOote(#Ja j <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: LOMMERCIAL <br /> USE OF BUILDING: 02)mYmerCia:1 <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ 8 5 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? lig YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> n s a I 1 (I) LED fl e Sa.9-e Ce►-rhe r <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): Pact Re, QO We.r -l-ler IeS <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: 6P7 E T' Sly) Ser <br /> CONTRACTOR ADDRESS: STREET I(pal 2 ls+he1 l -LVZ--1- 1 a �q( /� <br /> CITY m 111 .-re2.-K. STATE p 4 ZIP q�JQ/a <br /> CONTRACTOR PHONE: 4125. 330. 81(00 CONTRACTOR EMAIL: b)--)+.5 15Y) msf, Co Y N. <br /> CONTRACTOR LIC.#(REQUIRED): beTS)S-A—Ci CIQ 41:Ar; CITY OF EVERETT BUSINESS LIC.#(REQUIRED):0 5 5 109 <br /> PRIMARY CONTACT: 0 OWNER 9ONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: )-12.g.-330. 916,0 <br /> trza.n K Cb n2�a\CS CONTACT EMAIL: <br /> b sir)s din sn, con-) <br /> 111 PERMIT# <br /> ,� . �9 . ) - E (70� <br /> AGREE EN . ereb ce Ify that I h: a 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 7!be c. • -ted ethers•- ified 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 r- ng construct,. . the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and l <br /> Qwgoiyl*titbte i8aa afteftaSig sataKe18.27 RCW and 296.200 WAC. Date (Revised 9123/2016) <br />