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4re"' ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 f FAX 425-257-8857 { (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: CI Va. ?cc-sX A v <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE; 0 SFR-DETACHED` 0 SFR-ATTACHED- 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: OMMERCIAL <br /> USE OF BUILDING: I-ICSQ,'-c-t <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 2,bp0,`= <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 10 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 12 o v e. Q- i Si; -" az.„;(c / t�t -� �2�S I c, cr= c (ce r3 <br /> �� wa./ t l i.) i,,rz>^e�+ " �� c{ c�c..����, �� 6 4c t,J <br /> tG.Sor ,s. 1'A. OR's t.- <br /> CONTACT INFORMATION <br /> ( <br /> OWNER NAME: ?c -�CC. 2E5 1�a 1 Mteti r TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1601 1_ ela A J n S 4) -16/ <br /> CnYetytirorl STATE 04 ZIP /::5)6.' <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME; <br /> VE Ccs- E 1 tzfr�L ,// <br /> CONTRACTOR ADDRESS: STREET 5-(0(Q 4� AV A <br /> c <e eTT <br /> . L STATE 44 ZIP/gibe <br /> CONTRACTOR PHONE: '2-06-436-5-2-60 CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): IffCA E GT SLI Z IY\L) CITY OF EVERETT BUSINESS LIC.#(REQUIRED):60114 �t S <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 5t OTHER(Please Specify) F -f 4 .rat F."0.44v7 <br /> CONTACT NAME: CONTACT PHONE: Z o(c °-051)- I 3S <br /> SL\ 1..r �Citdt I( ,es(c( CONTACT EMAIL:. „..Sasb,.) G(A 4,e0,4, <br /> AGREEMENT:l hereby certify that l have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> 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 Official Use Only <br /> PERMIT# <br /> EI (605 <br /> 6/4/pi, <br /> er/Authorized A.-nt Si• attire (Revised 9/23/2016) <br /> ' <br />