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'op. kLECTRICAL PERMIT AOPLICATION <br /> viiiai 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: 7 ICAO Hardeco n Road <br /> BUILDING AREA(if residential,new construction, remodel,or addition) /5,56 5 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: B uS PA;--rriefictriLc, <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ SL, s a �"y' <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 'NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 'ee0a Ce, L514L514-6\-(5 I �,e,,J1)•-t bes -6,(:)-ip., ,61 W'.K..s ) <br /> Acid pcas,,:Pie Ylet"? LAp <br /> S / h2JOCA-e- -ex:S-fslg /VMC. IA.isn.,5 . <br /> CONTACT INFORMATION... - - <br /> OWNER NAME: CDPIfYI.LA,K7-K( "Frai115,-J- Q TENANT NAME(If Commercial): CT <br /> OWNER MAILING ADDRESS: STREET -7 t o O .t&-�� s cv\ R00.60 yy^ <br /> CITY -P � STATE tN)I V ZIP � .0--3 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: >1 N f (jQc;G I N C-- <br /> CONTRACTORADDRESS: STREET 0 tO ilAviJ iv 4)6, <br /> CITY P(lt;Qv,V,.6N,A. STATE 't,J'14 ZIP `absz. <br /> CONTRACTOR PHONE: t..( G, � ,I—7!C Cj CONTRACTOR EMAIL: f\)D El , A I )IMC)€('"J- I C Com <br /> a —r^ � � o <br /> CONTRACTOR LIC.#(REQUIRED):fI ot`/�1,ul..' ` 7)5S f.— CITY OF EVERETT BUSINESS LIC.#(REQUIRED): ( C,SLGj� <br /> PRIMARY CONTACT:�JI]OWNER L 'CONTRACTOR 4❑OTHER(Please Specify)�.«�.ry}4jX,�L�-~V,e~WV"=Yv"~„��~�{V`yY%y4V%'�~��"'p-,"_,.,...�,M.�..�.n...F__w..,-. <br /> CONTACT NAME: CONTACT PHONE: cua5 l((1 -7101 , ,h <br /> AM C kE CONTACT EMAIL: 4k)m�� l:/� AN)met_Fl /�K lC., cowl <br /> AGREEMENT:T 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 <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 l 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 /> FEE <br /> PERMIT# <br /> /.."-(//' &)& /17 E <br /> .01(011---°1:L <br /> Owner/Aufh. zed Agent Signature Date (Revise 90/12/2095) <br /> 1.17 <br />