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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 I FAX 425-257-8857 _j,•(E)everetteps@everettwa:gouj••-www_everettwa.gov/permits --- <br /> PROJECT ADDRESS: 3,50e/ paw". a . . <br /> BUILDING.AREA(if residential,new construction,remodel,or addition) SF <br /> . , <br /> BUILDING TYPE: V ..FR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS. 0 COMMERCIAL <br /> USE OF BUILDING: <br /> n <br /> CONTRACT PRICE OF WORK $ 5CD , <br /> ,. ., <br /> NUMBER OF DEVICES Of low voltage)), <br /> FIRE ALARM? 0 YES . NO <br /> ASSOCIATED BUILDING PERMIT#:if autlicable; <br /> W_:'ZES .PTIO:iI:IF._ IRK:.-. . 11,71.6ta,,-9/1,,S, Lt./eta_ ,41. .''' ______ - -- -- - <br /> 1 <br /> OWNER NAME: ;( TENANT NAME(I("Commerefet);, <br /> OWNER MAILING ADDRESS: STREET �) <br /> gm% 1,10ff ZIP qt <br /> OWNER PHONE:1426 ,.}. <br /> �. ,,.,. . .«ait 2 it <br /> , �r/"+t'� J OWNER EMAIL: <br /> ,CONTRACTOR NAME ei4Y1 VvICLii o9 _ _ <br /> CONTRACTOR ADDRESS: STREET ir p; <br /> t 11�r BTATE �' ZIP 2o 1 <br /> CONTRACTOR PHONE: .±.612,.,q. <br /> a <br /> e +� 0 CONTRACTOR EMAIL: '1! ':.� 44 ' 44401_41I sr A t$! om <br /> ONTR tCTOR`[C.#(Ft1 t11t3F l C TY OF EVERETT BUSINESS LIC.#(REQUIRED i 45kM - <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: <br /> CONTACT PHONE: 1.4 .5. 'a 7 <br /> ' ale CONTACT EMAIL: <br /> AGfE jlzf J,fl t tlemby.eeltffy-that 1_have read and examined(his application and know the same to be true and correct. All provisions of laws end ordinances governing this type <br /> of *will ire 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 1 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 /> PERMIT# <br /> ,2 0 r, g <br /> ����1g E I god - o� <br /> Owne1Autheri„eid'Agent Signature Date <br /> (Revised 9/23/2016) <br />