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03/31/2017 07:50 #1927 P. 001/001 <br /> ECTRICAL PERMIT APR-CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 E (E)everetteps©everettwa.gov I www.everettwa.gov/permits <br /> • <br /> : . . :PROJECT.;SI,INFORMATION.,• . • • <br /> • <br /> PROJECT ADDRESS; I6 Q2_ jA L 44 4 k/fZ- <br /> BUILDING AREA(if residential,new constntctlon,remodel,or addition) _..SF <br /> BUILDING TYPE: 0 SFR DETACHED 0 SFR-ATTACHED 0 DUPLEX CI MULTI-FAMILY-#OF UNITS: Q COMMERCIAL <br /> USE OF BUILDING: <br /> . .ELECTRICAL APPLICATION.INFORMATION • •. . ". • . <br /> CONTRACT PRICE OF WORK:$ d a O M b Rr o N. 14 <br /> Cr <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? CI YES NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable). <br /> DESCRIPTION OF WORK: _ CAPE jA)liU V". pa ahc JO' tZgeki, <br /> 40-gt r¢At" r 6Uiv(Jf" - <br /> - <br /> CONTACT INFORMATION • . . <br /> • <br /> OWNER NAME: 4 L fl' LP 4A-1 .l 1'J L J 4(l TENANT NAME Of Commercial): <br /> OWNER MAILING ADDRESS: emerrj(,(Of? <br /> �A,.. J A t ,j — 704 /.?a <br /> � <br /> atry iVjf/Z j' STATE J' x� 04 v?d g <br /> OWNER PHONE: y)..s 310 3.f 4 OWNER EMAIL: J <br /> CONTRACTOR NAME: CrL t_iubtot. 474rc—i k I G <br /> CONTRACTOR ADDRESS: steam 3 / 1 _. Ar. <br /> .. CtrY l ., `.:i. I. STATE as Age <br /> CONTRACTOR PHONE: J �J v�•1 CONTRACTOR EMAIL: <br /> CONTRACTOR LW,.#(RECUIRED: -{6.41144/ J'/ ' CITY OF EVERETT BUSINESS LIC.#(REQ RED): 4110 <br /> PRIMARY CONTACT; CI OWNER A CONTRACTOR A OTHER(Please Specify) <br /> CONTACT NAME: <br /> ,�1 -CONTACT PHONE; (41—,r(41—,r 47/'21 �`2 a <br /> Q GTS FEKA Awe CONTACT EMAIL: <br /> AGREEMt NT-:I hereby osrtgythat/hive reed and examine thtt mon and know the same to be true and correct All pro ons slaws and mr no,s 9Oo eming this typo <br /> of work will to carte aid whether specifi d tomb ernoot The granting as permit does not gestin to <br /> local law regulating construction or Os f tis properauthority to perfor(domem <br /> or cancel for previsions of any os madeate or <br /> p8.27 O a and <br /> 286.200 n. that 1 em arrehorawerQY the owner of oris property panbrm the oak woo application pc:atlan Ia and I <br /> comply reoh the�cars taw tt�i Rcrvend.z�2no MC. <br /> City Of Everett official Use Only <br /> PERMIT# <br /> /j <br /> -3/3/ 7- E <br /> l Agent Signature a (Revised tfr23/2OT6} <br />