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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE t t PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201? <br /> (P)425-257-8810 1 FAX 425-257-8857 1(5)everetteps@everettwa.gov I www evere'tt ta:gbv(permits <br /> :46,64.,,-.. -,„',,,,'t„-- <br /> �� >�,.•a��wat�c''�`�\a�n,Y,,.'fi. ,., ✓.�. <br /> PROJECT ADDRESS: -f. elirelteNCV kite, <br /> BUILDING AREA of residential,new construction,remodel,or addition)reel/N : SF <br /> BUILDING TYPE: 0 SFR DETACHED 0 SFR-ATTACHED DUPLEX 0•MULTI-FAMILY-#OF UNITS: EI COMMERCIAL <br /> USE OF BUILDING: <br /> CONTRACT PRICE OF WORK'. <br /> NUMBER OF DEVICES fif Iow ve age). <br /> FIRE ALARM? ©YES ONO <br /> ASSOCIATED BUILDING PERMIT#cif applicable); <br /> DESCRIPTION OF WORK: tIce, ‘.0. own).- <br /> OWNER NAME: 4:11-()e_., ft-MC:hair\ nt.mcolx TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: _ stReEr Len lc <br /> crrrY <br /> s'NATe. WA zm 1 <br /> OWNER PHONE: � ,.. OWNER EMAIL 101 0 t 6 Wit <br /> CONTRACTOR NAME: Cr i "AC .� ° ''4' <br /> CONTRACTOR ADDRESS: swse 2 T' \L.. tc" .` . ,g�_ <br /> ;co 0 ... STAlE P� Cig ... <br /> CONTRACTOR PHONE .. ` ,.c)--41-1, CONTRACTOR ENTAIL: � ` <br /> .- • C>"' ° ' Q , <br /> CONTRACTOR LIC #(REQUIRED) cgle,,cpec61ret, �tTY OF EVERETT BUSINESS LIC *REQUIRED); <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME. CONTACT PHONE: Dir"[ <br /> , CONTACT \c,— . <br /> AGREEMENT:I hereby certify that i have read aria examined this application and imaYt"the sante to be true and coneot All prow ns of laws and ritdinanses governing This hoe <br /> .ofvork"tie baso»rpletedwhither specifreditereirtornot. The grantingofa.pemttt:doesnotpresumetogiveauthcrtitytovior ore at the os of any other steaor <br /> toes/.taw regulating constnzrtlon or'the perfwmartce of construeilon. rhat I am authorized by the owner*fhits pregettyta perform the want for whichappithariOn is made-and l <br /> comely with the State Contractors Law 18:27OCW end 29620,0 WAC. <br /> City of Everett Motet;Use.QhIy <br /> PERMIT# <br /> . ev sad sn ors <br /> . 4.P. .i .- •tura Date: I <br />