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ELECTRICAL PERMIT APPLICATION <br /> ,,iiiiwCITY 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 /> PROJECT SITE INFORMATION' <br /> PROJECT ADDRESS: /Oa/ A ,i3r,aAtcLoci <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF AOMMERCIAL <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: <br /> USE OF BUILDING: ©.F1 C€ <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ (p)500 <br /> NUMBER OF DEVICES(if low voltage):• <br /> FIRE ALARM? 0 YES "NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): At . 47/305-"OZ g /^ <br /> DESCRIPTION OF WORK: Re- W�K / t G/�il,'i"S 1 sr.4J i' 5 .'--� r 1 1 S • r <br /> CONTACT INFORMATION. <br /> OWNER NAME: A 4'/7/10\O 7rOY TENANT NAME(If Commercial): Akt1 <br /> OWNER MAILING ADDRESS: STREET <br /> CiTY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: ()�/JJ1/e( C(J ( 7L, GSL /'Z'fu r--. <br /> CONTRACTOR ADDRESS: STREET /3-09f B 4€�/ 1j ac1-, <br /> CITY --5/1011e114S Bev), <br /> STATE / J+ ZIP S/g2 9d <br /> CONTRACTOR PHONE: Tic 76¢d 6./4/7 CONTRACTOR EMAIL: /lift,' Mar-/ C p vti,' 0,), Co✓AA. <br /> CONTRACTOR LIC.#(REQUIRED): COP' ell c C/4 1',�3 d 2- CITY OF EVERETT BUSINESS LIC.#(REQUIRED): " rQ 7 7 <br /> PRIMARY CONTACT: ❑OWNER kA CONTRACTOR 0 OTHER(Please Specify) <br /> CONTAC NAM CONTACT PHONE: 4,125- 6 ' 69 /c7/7 <br /> ����/' CONTACT EMAIL: v!,-.{X rwn <br /> AfV/o(7 <br /> EMENT..T hereby certify that I 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 l 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 /> FEE <br /> . At AI '7% <br /> 4111P i / <br /> PERMIT# <br /> 7- ise- r8 Eltho1-- °8(0 <br /> •/neriAuthor' e' Ag-ntS'. .t - Date (Revised 90/9212095) <br />