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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 1 FAX 425257.8857 1(E)everetteps a©ever-ettwagov I www.everettwa.govtpermtts <br /> ' <br /> _ -axr 4! � .�., < <br /> Ss� $ a �a' <br /> - <br /> mK, rmmMe d ,, � Ayd P.„ ,1. � � �% p ,..',.1,...1 e � � , € & z - <br /> PROJECT ADDRESS: 0 i A.c4-11/1 Cas <br /> BUILDING AREA(if residential,new construction,reemodel,'oraddition) SF <br /> BUILDING TYPE; :1 •SFR,DETACHED I $FR ATTACHED ID DUPLEX D MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ti•�=�s- y'• w, ;eP;.,s *�,.... �. �� �..,... ' ,.. , 1.0 <br /> < .. <br /> CONTRACT PRICE OF WORK:$ �1 -f ”} <br /> NUMBER OF DEVICES(if low voltage):: <br /> FIRE ALARM? 0 YES El NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable); <br /> DESCRIPTION OF WORK: Y _le -1-- -;:›t-e2.--+ 4 r' LCA n►v 1-eGi" . 465 <br /> ' 4 r. 70 g fad c T tT,YO i/ <br /> OWNER NAME: �• r w 1 ✓ - TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET ( "-1-4 - } <br /> CITY -e-' r •� 1 sTATE( z! : ! <br /> OWNER PHONE.. 11 I i''' OWNER EMAIL: <br /> CONTRACTOR NAME: l''i�G� ' " 'YZ r` /�c .,f!l - �� <br /> CONTRACTOR ADDRESS: STREET "'Tj''7 o/ �'l.. .<,j1 ` j <br /> CITY m a V i I ... STATE O ZIP 5r, F <br /> .CONTRACTOR PHONE: id-c"' '' „�j. 40.. * ,CONTRACTOR EMAIL:, j,) r.eiS Y !`: l'Vwi C c , kelp <br /> CONTRACTOR LIC #(REQUIRED? 1(10Y' !of q-s--qJ CITY OF EVERETT BUSINESS 1[C #(REQUIRED) 4-/J-74 <br /> PRIMARY CONTACT: CI OWNER rte,ONTRACTOR I OTHER(Please Specify) / ._ <br /> CONTACT NAME: CONTACT"PHONE C, d' -`' j ; 3 ^„c....f' r -- <br /> P `4 ;' CONTACT EMAIL: <br /> AGREEMENT t hereby certify thati•have read and examined this application and.know tie same to be thieved cermet: A1Iprovisions of Jaws and ordinances governing this type <br /> of work will be completed whether specified herein or The granting ofa permit does not presume to give authority to violate or cancel the provisions of any other Stale•or <br /> local jaw regulating construction or the performance of constriction That 1 ern authorized byi,yffle owner of this property to perform the work for which application is made and 1 <br /> comply with the State Contractors.Law*,a27 RCW and 296,200 WAC: <br /> City of Everett Official Use Only <br /> PERMIT# <br /> D9/ , 3 .d-st. 1 K <br /> . E VZC53- VK <br /> Owner/Authorized Agent Signature Date (Revised 9!23/2016) <br />