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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 J FAX 425-257-8857 j (E)everettepstpeverettwa.gov j www.everettwa.goviperrnits <br /> " INFORMATION <br /> PROJECT ADDRESS: .2112.g 14-014- Ave.. ; * tcl ekki- to* 9R2-0 I <br /> BUILDING AREA{if restcientiai,new construction,remodel,or addition)..r" : -t SF 75— <br /> BUILDING TYPE; 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX itMULTI-FAMILY-#OF UNITS:6.. s? I 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICALAPPU ATIIOtiatoMA ON <br /> CONTRACT PRICE OF WORK:$ 4. <br /> NUMBER OF DEVICES of low voltage): <br /> FIRE ALARM? C YES itti NO <br /> ASSOCIATED BUILDING PERMIT#of applicable): <br /> DESCRIPTION OF WORK: tA.a:Y`e, .` t, actct A aiop{tCt.it e, rezu°-f"`. ) reef° <br /> , it'w 4 0 V bit, ,• 0 a l t a . ,'_ # 4 ' / r'4.0 f` .. 9 r 1 t t...., 1► <br /> ii V°I .ry <br /> CONTACT JIINN'-fl 11M ATIION <br /> OWNER NAME: Pojal. t:'' PaStb le7 TENANT NAME Of Ga me rciaii <br /> OWNER MAILING ADDRESS: MEET <br /> CEY STATE ze <br /> OWNER PHONE. OWNER EMAIL: ;t • lek ,_ IN 43.444.0.-u,:%., t <br /> CONTRACTOR NAME: rA 1 kec'(C _ i z`e;: '732c. <br /> CONTRACTOR ADDRESS: maser 5 .tetLk ` =--f.:€ C.2.. <br /> sTA .. C <br /> CONTRAACTOR'PHONE: 2.53-1P4-2-CP f q' IC&TRACTOREMA1L:ie) )reeiSzl-e.i i d1.t <br /> CONTRACTOR LIC.#$REQI#IREDI: 9. v . , CITY OF EVERETT BUSINESS LIC.#( E 34IREL) i037-7 <br /> PRIMARY CONTACT: CSOWNER CONTRACTOR 0 OTHER!Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 253- to 142.M- 9 <br /> JO r ig t e."e CONTACT EMAIL. p <br /> AGREEMENT:l hereby certify Matt have read and examined this application and know the same to be tate and eared. At!pwvisians aflaws arra i this <br /> Of wdk ct be completed whether therein or not. The of a penin!!does not presume to give a governing e <br /> lace!law regulating construction or the pert mtartee.of construction. That t em authorized by the owner f this property to the work! fir h any s is <br /> or <br /> comply with the site Contractors Law t8.27RCW and 296 20t)WAC. * City <br /> application isrrrads and I <br /> of Everett Weis/Use f nty+ <br /> PERMIT## <br /> 4 r <br /> • e :1 acre D (Revised 912zttt) <br />