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4677- RIDECTRICAL PERMIT AI .JCATION <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) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: of 0 (I 9 e.q ,sem AJe (11.* <br /> BUILDING AREA(if residential,new construction, remodel,or addition) 5'1)0 SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX MULTI-FAMILY-#OF UNITS: 2 ID COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 2 c °° <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES Ea NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: SGS- &r v" 1w_ pts \.+ <br /> `� - ` Ske•:1/4---S <br /> i <br /> I c.TN.„ `�V 9v�� ZNPA• C-2t�- <br /> CONTACT INFORMATION <br /> OWNER NAME:'-Pct.,;'\ TENANT NAME(If Commercial):' -Ic; -i- bzr.by(L11 <br /> OWNER MAILING ADDRESS: s-rREET 1'7 3 r,,„"k' G. l /}J� <br /> CrrY f Id. Q�, C JJ STATE V\0 ZIP lig'l 6 32 <br /> OWNER PHONE: (• 1b t S 2i•c>$Set OWNER EMAIL: in.)Qc1 ‘Alikri TJCf.A.\(\Q sS ! i- t ,tn-«,I , Co LA <br /> CONTRACTOR NAME: C s.&k s-}� F k C�¢;c <br /> CONTRACTOR ADDRESS: STREET c-S*b LA 'Z 2.(, 5-r 'L,..) '' <br /> cm, Vv6'f `U ��AQtwe-a. STATE v-� - ZIP SgO4 <br /> CONTRACTOR PHONE: adf ' (4•15 bE CONTRACTOR EMAIL: C Q <br /> CONTRACTOR LIC.#(REQUIRED): C $SO CITY OF EVERETT BUSINESS LIC.#(REQUIRED):025032. <br /> PRIMARY CONTACT: ❑OWNER Da CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: `Z,©co 9 t\-t 15®S <br /> vt4 t(.�. \ -fi t CONTACT EMAIL: g vuerr <br /> AGREEMENT:T hereby certify that/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 lam 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 /> 50 <br /> a <br /> PERMIT# <br /> E \ L�(P <br />