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LECTRICAL PERMIT LICA.TION <br /> 'If►� 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 /> • "- PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 'Zel t6 6TATC, S\Ka: 't 10 <br /> BUILDING AREA(if residential, new construction,remodel, or addition) /400 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: Mike,Y-11\-0 0 P SOC SS(&J G <br /> ELECTRICAL .APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 7.004 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES $410 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: It° oott. �j 2.4S c,( _f <br /> 22.o ovt'�-1 s <br /> CONTACT INFORMATION <br /> OWNER NAME: Raj J .s(DE' 4{/J , / („(L, TENANT NAME(If Commercial):- ��('r'1,ADBA .µ ms_ .7 <br /> OWNER MAILING ADDRESS: STREET 1 16 St�T6 `j-�I�•s�+�1 ST6 t Qa OMS <br /> CITY ��1? STATE w�- ZIP S=1 <br /> OWNER PHONE: z.s-3Z7^'�J.�i OWNER EMAIL: Sj i .44) nfiloo <br /> CONTRACTOR NAME: 5&LF <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: 12r-OWNER 0 <br /> CONTRACTOR 0 OTHER(Please Specify)~�„`p��µw'-�.nR. <br /> CONTACT NAME: CONTACT PHONE: `, . 27/2;-1 .1L1 I.Q <br /> ( S CONTACT EMAIL: Sp9.101C <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 I 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 /> a2_ g) <br /> PERMIT# <br /> k ( ' tsZ <br /> Owner', .rize / nt Signature - D to (Revised 10/12/2015) <br />