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tit <br /> ECTRICAL PERMIT APSit <br /> [CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 j FAX 425-257-8857 ( (E)everetteps@everettwa.gov} www.everettwa.govipermits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: IF} <br /> 1�0 LS - Sr E ve_r-e44-, (-1).4 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE; 0 SFR-DETACHED 0 SFR ATTACHED- El DUPLEX ©MULTI-FAMILY-#OF UNITS: ;ErcOMMERCIAL <br /> USE OF BUILDING: Ep; C <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ C19°?= <br /> NUMBER OF DEVICES (if low voltage): /VD L <br /> FIRE ALARM? 0 YES 12410 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: � kit &prtti&t.:-k- Gat ; L C <br /> � W -rG�+. Ce,i li PI j.-476K <br /> CONTACT INFORMATION <br /> OWNER NAME: I'ro,t,:jevteC. ?e,.5/4.,4( meaiO4( TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: mem' )lee( , <br /> Li.'iC( d o IE t t.) #4 fit <br /> `` <br /> CITY Re."4-0.-1 STATE 4.1.4 zip 47i5AS <br /> OWNER PHONE: 'OWNER EMAIL: "f <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: Strut) .5-to .'�" /kiS <br /> on,/ SeC+te.— STATE I)4 <br /> CONTRACTOR PHONE: 2C - 4t3ia--52.0 c> 'CONTRACTOR EMAIL: ziPtO <br /> CONTRACTOR LIC:#(REQUIRED): tteCA E(2- S.4/2. l3 <br /> . - IcilY OF ENERETTBUSINESS UC.#(REQUIRED):60(45'i/5-- <br /> PRIMARY CONTACT: Q OWNER 0 CONTRACTOR IEOTHER(Please S <br /> pecify) 1+'ir+� G�ett it &rc-.WL42- <br /> CONTACT NAME: CONTACT PHONE: <br /> -- /kr SC t 4 t,J 4 t) CONTACT EMAIL:1 hereby <br /> AGREEAAGREEMENT: ..S •• Sc4far.�tr.��-z..�? t,;..'✓.��„Co�� <br /> y that 1 have read and examined this application and know the same to be hue and connect, At/provisions of laws and ordinances governing this type <br /> of work will be compkated 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 construcfion or the performance ofconstruction 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 /> >-2f A ,o� E 150g- 1321, <br /> sr/Author! Agent Sign re Qat <br /> (Revised 9/23/2076) <br />