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JUN-20-2018 14:46 FROM:STERLIN CTRIC 4254858606 — 4252578857 P.1/1 <br /> �- ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425.257-8810 FAX 425-257.8857 f (E)everetteps@everettwa.gov I www.everettwa_gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS; Z,�j z(p LS2L4 A /E Si* 9$02.c?, <br /> o'zR, <br /> BUILDING AREA(if residential,new construction, remodel,or additicy.21 GXt_.-0(JCS WO" dp (,,-D t1(c. <br /> BUILDING TYPE�SFR-DETACHED CI SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDIN9H,0 r <br /> ELECTRICAL PLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ Z. C13 = <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES t1,44O <br /> ASSOCIATED BUILDING PERMIT*[If applicable): 0 �.-. <br /> DESCRIPTION OF WORK: U P a•PA,,-IEL ¶p eXIS.Trr.9t <br /> "AOft,rt ? — "ro 100 ,Ari r' res, 12.0,2, • <br /> t'rc-N <br /> r f-1 Cr <br /> • <br /> • <br /> CONTACT INFORMATION <br /> OWNER NAME: 3� Lt-.� TENANT NAME(If Commercial): \ <br /> OWNER MAILING ADDRESS; STREET 1Z3 24. ►qTW AJE 'S <br /> - clTYaigZrarSTATE J ..ilp I v 4(rei <br /> OWNER PHONE:4Z - 1 71 TOWNER EMAIL: <br /> CONTRACTOR NAME: 06,t-,106,t-, e(r I ( J t.S C,. <br /> CONTRACTOR ADDRESS: STREET r0 �r ar 2 Ai I <br /> CITY k t'0 pr — t_ STATE A A ZIP dir IITg <br /> CONTRACTOR PHONE;Z.O(2,. 7 3 ,4.152- CONTRACTOR EMAIL; � �r(1e. e ro ki er. corn <br /> CONTRACTOR LIC.VEOUIRED): STEP-4-6Loa ICITY OF EVERETT BUSINESS LIC_tt(REDUIRED):055q� <br /> PRIMARY CONTACT: . OWNER Q CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: 1-� CONTACT PHONE: {7Sp ''7' ,4(t= Z <br /> 1� 12C CONTACT EMAIL; '+e r j t C 1 t-cY'o i f*i C, <br /> T:: r� <br /> AGREEMENI hereby—fy thatI have read and examined this application end know the same to be true and correct. A provlslons of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not. The granting of a permit dopa not presume to give authority ro violate or cancel the provisions of any other state or <br /> local law regulating construction or the pG lonnance of construction. That I am authorized by the owner of this property to potform tho work for which application is made and 1 <br /> comply with the State Contractors Law 18.27 ROW and 298.200 WAC. <br /> City ofF_verott Official Use Only <br /> PERMIT# <br /> (a 2,C, 155 E g6(0 - 1q6- <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2018) <br /> V <br />