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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps©everettwa.gov I www.everettwa.gov/permits <br /> ,' -' - -.4.',..' - ' ,A".;-'-` 4 4E0r..?-77477.5T. ' • 46 <br /> PROJECT ADDRESS 7J20 et.4 <br /> 113L/ILDING AREA(If residential,new construction,remodel,or addition ' SF <br /> BUILDING TYPE: JR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> tV,;14.11:.e17:"1/4-',7;,7:1: -V:14-:".J.W.17t,:i;‘.?'14,.7.-,i,'...:,!,..C.77: 34-fLZIETZ;l• litT4., 1,477ta:Z-L.41-iti-Viir.,MtN3'074:',‘",:-:e',-, <br /> CI)NTRACT PRICE OF WORK: $ • , .(,'D °° <br /> NUMBER OF DEVICES If low voltage <br /> FIRE ALARM? DYES . 0 <br /> otoNfatis, <br /> — — <br /> ASSOCIATED BUILDING PERMIT,#fit tip oabie): <br /> DI- ,... - ek a A e• <br /> ...- <br /> 1 <br /> -7,7';"4..-,lel.f`,"-:, .1,,,.‘,„%..• TW,1,,s' ''-,?. ,4;'\`,.Kt',.:',.,l• '•:-,:-.1r,a-off,7 IfraTIT'ffrTf.717,7r77,T,TrIT74*--,-7,,... .;,' VT- '"' <br /> , ‘ '-: - ' •,j4t10?! 1-I,t„a),L.4.14,0L44:,t tt.61414,- , ,1""' ' '. <br /> OWNER'NAME: r- r *or bp(1) TENANT NAMES If Commercial./ <br /> OWNER MAILING ADD .--z S4„, <br /> ...... TREET 40 . . ., <br /> ' <br /> coy is t,H4 tup ,v,,,,,i t 01 ic,iv, II alp,VA i iii it fOis,.1; .,LA, / <br /> ""' 'ifliejiMMirgililliall ' " <br /> OWNERRHONE: 4, 0. OWNER EMAIL: <br /> _urrtcawnm.caysrnttetoaer,r,wvvmoo,,rw"ravr.fomoymwmows-..........,........rraaemancasmerwrwammrstatamemmama"ommwoom <br /> c()NTRAcrolt'NAME: <br /> CONTRACTOR ADDRESS STREET tt415 'Taroadv.Kttz <br /> OITV •:.a,_:/ . atATE , A 20 <br /> CONTRACTOR PHONE 0:0 eil tit;704 6 CONTRACTOR emAtt4, it ',Ii0 igA -. ,i* A.,:oN* if c 4 tryt <br /> ,..._. , _ ,,, <br /> wti 1 mo i Lt.(LIC.ii0 OUISE0):-.Unt le. - '6' on CITY OF EVERETT BUSINESS UG MORE . r .:-- ------ - <br /> PRIMARY CONTACT: DOWNER '14:CONTRACTOR 0 OTHER(Please Specify) ' <br /> • ' <br /> CONTACT NAME: CONTACT PHONE. <br /> ' 4000 35ct D4350 ' <br /> , <br /> e-2 CONTACT-EMAIL: C14;Ibije ' •., , <br /> AGREEMENT:I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of lows 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(he 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 /> - - <br /> PERMIT# <br /> tet7)24., 12. <br /> E <br /> Ownor/Aulttorfami Agent Stigiature - Date (Revised 9/23/2016) ' <br />