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/filo <br /> ELECTRICAL PERMIT ,A\PPLICATION <br /> -- CIN OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425.257•-8810 I FAX 425-257-8857 j (E)everetteps@everettwa.gov J www.everettwa.gov/permits <br /> a:'=. pP�IIt1F�T„► 1,: <br /> f.. w :1:.. .-.....t.. .. .. .._..: ..... .x •r ..G.;r.•ce.N'JyS-1�•, t,.n•:�.T.v:�'V.V`;weA.•�F-�'�yt •;+.Y i :. ... "t r <br /> PROJECT ADDRESS: -90 -23 /2/L.,)/A J& ze,./m / <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED Cl SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> 25.2E13 UILDING: ©E & EVE,PE1Y <br /> 5� ••••_ ,. .�,t�. .::.,, :,,,�J.,,.. TRIC L';A =h >< ,..: ' <br /> •a-rg:i.;'sir '„ ai <br /> •; ;.r. DAl:Ni0'tshLcsS:l•J..1�•� .tl��f0��.£�Sl�.��W.nri+.Mr ati4l••\?JI......tl�'ry.'I:I.t':....in.sfi.ri•�.:.�+i.6.t•.•rS:t,'i+i'tNd• <br /> CONTRACT PRICE OF WORK:$ 9l aso <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? El YES NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: dZ.Z,19 i2411,70Z?.l� <br /> • <br /> • <br /> • • <br /> • <br /> OWNER NAME: TENANT NAME(If Commercial): BCE/A.)6 <br /> OWNER MAILING ADDRESS: STREET l ,.�j�Q'x 3707 �/j� ��//) I /� <br /> cur' ,5e'1 1 LGr STATE . / ur !33/24 22`07 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: g?epale . (1/i57ieue.„-ri m <br /> CONTRACTOR ADDRESS: STREET <br /> Pa 60,K 4i' <br /> coy 11 fAgsr'Ar4/l� na eig204 <br /> CONTRACTOR PHONE:425-2, 4-4,944 -,Ie!CONTRACTOR EMAIL: k4 . NAM EA ?f,i wj,r. doh') <br /> CONTRACTOR LIC,t#(REQUIRED): agIV •O,Z L CITY OF EVERETT�PAUSINES S LIC.#REQUIRED):QUO <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR CI OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2042-736- ' J4 <br /> . D6/JNf5 CRDWCONTACT EMAIL: pEN/q[S.C/eDu14 �IL�'W 1 T. 60IY1 <br /> AGREEMENT:T hereby cerIlly that l have read and examined this application and knowthe same to be true and correct. All provisions of laws and ordinances governing this <br /> type of work wll be completed whether specified herein Dung The granting of a permit does not presume to give authority to violate or cancel the previsions of any other state or <br /> local law regulating construction or the perfomrance of construction• That 1 am authorized by the owner of this property to perform the work for which application is made and t <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC <br /> City of Everett Official Use Only <br /> FEE <br /> x(35©d <br /> • <br /> PERMIT# <br /> div E <br /> Owner/Au'or ed Agent Signature Date (Revisell 10/12/2015) <br /> • I <br /> • <br /> • <br /> 1 <br />