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., <br /> ILECTRICAL PERMIT AALICATION <br /> _ CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everefteps@everettwa.gov I www.everetfwa.gov/permits <br /> /: .'• : T:::' :, PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: py 1- r Y Q v,. J+' t, p ' . -1, I u— 13 <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF Jr? <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX MULTI-FAMILY-#OF UNITS: ' 0 COMMERCIAL <br /> USE OF BUILDING: '-'1UV <br /> ..: . . ... •:i; .... :'''..::1:.:„ :;" ELECTRICAL;;APPL:ICATION INFORMATION:;';:: :: <br /> CONTRACT PRICE OF WORK:$ I-V.1S ---- <br /> UMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: \ --At i .1` 5 `IftP L`P t) (,) ti J LJ <br /> S'lhA A LAA i AA _ 11 . r rto4S _ <br /> Al <br /> .ilf► <br /> V i fit-. <br /> CONTACT':INFORMATION'. <br /> 1 A lS�O(A (IfCommercial): <br /> OWNER NAME: A. TENANT NAME <br /> OWNER MAILING ADDRESS: sTReET `l <br /> CM' VY/e. STATEZIPCI )j� <br /> OWNER PHONE: 4' 334- OWNER EMAIL: t ��7 I t L . exin <br /> CONTRACTOR NAME: It,f M /T—VA 6 <br /> CONTRACTOR ADDRESS: STREET 5� ', r"Si <br /> Cri, t l,1/1 ) STATE \mT , <br /> V vI ZIP ��(�lC l� <br /> CONTRACTOR PHONE 6'95/1-1--2770ei 1 CONTRACTOR EMAIL: Avpon NvOCIAATI-DvN.1 UM <br /> CONTRACTOR LIC.#(REQUIRED): N: 1)' U L 1(,tp CITY OF EVERETT BUSINESS LIC.#(REQUIRED):Jl/'t l°j 1 Lk <br /> PRIMARY CONTACT: D OWNER 1"4 •i•NTRACTOR 0 OTHER(Please Specify)�r�� <br /> CONTACT NAME: <br /> Q� i1 'Sall <br /> CONTACT PHONE:1 t/1.�— 51--3X�Lli� �J <br /> J V 1 t E PQM 1/V 1 `'v ll CONTACT EMAIL: A90/\‘'n @ AN" – n„V ,tArV) <br /> AGREEMENT:T hereby certify that 1 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 tam authorized by the owner of this property to perform the work for which application is made and! <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Oficial Use Only <br /> FEE <br /> i\fr <br /> PERMIT# - O 3 <br />