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JJxECTRICAL PERMIT AP_ICATION <br /> CITY OF EVERETT PERMIT SERVICES3200 CEDAR STREET, EVERE T T WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwwa.gov/permits <br /> ,PROJECT SITE INFORMATION' <br /> . O -TI <br /> PROJECT ADDRESS:20�Cj _ f S, • ftie2Ati " !V - <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: FR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> -;: < .°.;. ,:..'.: ": ELEC1"RICAL;:APPLICATION INFORM ° : , ::: ::.. > ; ..:.:.. . <br /> CONTRACT PRICE OF WORK:$ "'-70� <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK ( f , u(/) <br /> ■ y f-D fte, vtt,r Ur v - c,�� u,r---. <br /> U ve robs `�, � r - pSinjos fu9034 <br /> tAvtl inho i titer, i,- <br /> ONT C I . :". . ,TI. <br /> OWNER NAME: e-(/ •AI�I S TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 1al t f15H5 <br /> CITY V• �.� v V 1 <br /> STATE �A.* ZIP 6 <br /> 'OWNER PHONE:li%""O(S-"linel OWNER EMAIL: <br /> CONTRACTOR NAME: Al,,e«� (� <br /> CONTRACTOR ADDRESS: STREET 31C/yam <br /> g � <br /> CrrY � STATE A ZIP V Z 9 <br /> CONTRACTOR PHONE: )-6--331.- '30Lp CONTRACTOR EMAIL:1"914 / ' i 'I mm. /i) <br /> CONTRACTOR LIC.#(REQUIRED): 51' Leg 11-EP CITY OF EVERETT BUSINESS LIC.#(REQUIRED)IS-M1 <br /> PRIMARY CONTACT: ❑OWNER "4 ONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:L}a.5.-'3D:1- (j9 0J <br /> �i! 1► [I( ''�' 1 VV 1�f I V F-- CONTACT EMAIL: rn\.0 fp"' L <br /> AGREEMENT: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 tam authorized by the owner of this property to perform the work for which application is made and <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br />