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/ PLECTRICALPERMIT A ICATION <br /> ►' CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> :'.; PROJECT;SITE INFORMATION j `� <br /> PROJECT ADDRESS: 72-5V."' - — 1 Mini 44:1 VI's/ ` l'/^qp2. 31 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-D ACHED�0 SFR-ApTTTACHED/ ,❑nDUPLEX JLTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: ¶4SS t c7t 5 L1-if \ L_ CAN20 <br /> . : ; ;.ELECTRIC4;APPLlCAT10N INFORMATION.•'; .:;.. :. :;:`. :<: :' :: `:.:;:;:' :.: , :. ..::. <br /> CONTRACT PRICE OF WORK:$ '(70 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: i K.\., (:-)/ (& c 1 ns-c- -nn( (-) c_1.( <br /> 1 'Cf'c L kn IBJ U.-) t ---1:=q (c sC ' G i vZ -i ,ITh <br /> :::CONTACT�II+LFORMATLOM ` ,. ; ::... .::;:_. .:...::: : � - <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREEE <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: L .4 G C 124 c <br /> CONTRACTOR ADDRESS: STREET6'3 1 51W 7.W � .� <br /> are IPA 12L�I.1 STATE j /4 ZIP' (�Q)�✓GT/w <br /> CONTRACTOR PHONE: t / J CONTRACTOR EMAIL: ertCYYMin com),V C 14 5 / V(' • -OA" <br /> CONTRACTOR LIC.#(REQUIRE~VA'OrjO�U2D IL-CO CITY OF EVERETT BUSINESS LIC.#(REQUIRED);1 <br /> PRIMARY CONTACT: 0 OWNER rONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 40'6-33/T-3 �Q <br /> �VSl��n 1\400:61Z--- CONTACT EMAIL: .t�� <br /> AGREEMENT:T hereby certifythat!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! <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> .O <br /> PERMIT# <br />