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RECTRICAL PERMIT APPLICATION <br /> 1011 . 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: \ 7i 3D ox-e_ /t/r. <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF I/C( 1-� win+ '162)01 <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ,JE COMMERCIAL <br /> USE OF BUILDING: <br /> `EI:ECT1IJJC, A P flON INFORMATION, <br /> CONTRACT PRICE OF WORK: $ )-5)‘t f) <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): `— <br /> DESCRIPTION OF WORK: �4l cihnn 01- (a ) t''. tc (hoc( �'c(T_t�6 c� , S5k1lc(160 <br /> C — 1cJA zt s mer- <br /> • <br /> CONT ACT INFORMATIE N <br /> OWNER NAME: T`(,'��y�,(„�� (7.4„611.1 t h TENANT NAME(If Commercial): City OF �rie trtr_rfL <br /> OWNER MAILING ADDRESS: STREET 2 a I)0 ttWe /►t bcr Ave ..4 I <br /> CITY Vtit STATE /AA ZIP 9 '&I <br /> OWNER PHONE: OWNER EMAIL: it'CG cy,y'14 tr <br /> CONTRACTOR NAME: /h <br /> CONTRACTOR ADDRESS: STREET ��j Y C I n{Cr A, <br /> CITY S -\C _STATE A t ZIP t tel,qCONTRACTOR PHONE: L125 .610$svA CONTRACTOR EMAIL: DI DGIKC0 pUr SDltr1Q_C;Q) .C.OV 1. <br /> CONTRACTOR LIC.#(REQUIRED) I'pk I'S S q,ZO R14 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): ci <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: G? . qO..ey3% <br /> DC. OvA Locke CONTACT EMAIL: IU CC, cyaow4sOLCr. �►�. <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct.VAllprdivisions 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 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 /> PERMIT# <br /> g/zz � IA E SIC — <br /> OwnerlAuthorized Agent Signature Date (Revised 9/23/2016) <br />