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ELECTRICAL PERMIT ,PPLICAT1ON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-267-8810 I FAX 425-267-8857 1 (E)everetteps@everettwa.gov( www.everettwa.gov/permits <br /> '_�: .;!' :a+' r y5.'. ;::i:"...t''t• •N•r <br /> .F;.=e__Y.::�ti•'.�r..tM.fwi.h..i..'... '�4.f.•:..-....:�i ....If■ A4�C41.#� <br /> PROJECT ADDRESS: " ,+IR.f/v�an,.��:.i�.a..v"�(cy•���'x�:,L.�^•.e�.vt/V-w'ry•�+�v'i..r�.•. r.,s_-.... ...es..•..f.v•••.t......M:s'....r�nr�.��Lixi_•,�t..;_.. <br /> :.���-'.n�:...e.,•4.t.wr..•.:�..._r.,b.. <br /> • (1,9-(_,/,./.4-7-242, <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: El SFR-DETACHED ❑SFR ATTACHED 0 DUPLEX El MULTI-FAMILY-#OF UNITS: NI COMMERCIAL <br /> USE OF BUILDING: Qc�J (, �1/���TT" j <br /> �'f:�:.1'nE l;ii r:HOZ in C' :•.S,' ,'kr•{•rnrp•` m�.w�o -e..lY�j'....a.i,.Y•na....n_..O...x. _ -.,, .t..•r,.h�.r+e;a��w Y, ..I.r;.•'!x xiu,' rt.•:r}fir <br /> x`i:i:.� � .i.m:: "s rf:'ti,ria x ax.�•'a 'x: a v •. Sr r s..v ::3.•Nl�v.r.r••...ih:xfex.#.:.....a:is"Yi•.t.:;..t ix:LCy' i <br /> CONTRACT PRICE OF WORK:$ 13� f9( • <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? D YES 14 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: bilij/ti/f C�hL�/.rr�r,a.2.,/.4fig,gzi _ 02, 3 3 .0-5 • <br /> • i i <br /> • <br /> • <br /> • <br /> w• .. �:. ' . .. . • .-. . T;,l{NFORIIATI<QN: •.. • <br /> OWNER NAME: TENANT NAME(If Commercial): /it„.)6 <br /> OWNER MAILING ADDRESS: STREET 12 &7)( 3707 <br /> Gay l I"'CLE- <br /> • STATE A- zR/12-2207 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: (elo ,eA-L. eV sn t e.-roti J <br /> CONTRACTOR ADDRESS: smear PO/nag <br /> I <br /> ern, 1fi/EZ STAYER/)` ZP9s2a4 <br /> CONTRACTOR PHONE:426-211444 4CONTRACTOR EMAIL: f kion"j. IMininEgg k/ 'W/1, CD/Y) <br /> CONTRACTOR LIC.(RE4QUlRED): aEni '.Cc '-iO Z wj2T.,,y2,,,tyLRETTsBUSINESS LIC.#(REQU ):04O5nit <br /> PRIMARY CONTACT: El OWNER CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 204,-7 s 6-654-10 <br /> , '415 Ce gni CONTACT EMAIL: DENA/js,C,�Ok1l k!'1it/1!j. Gory/ <br /> AGREEMENT:Thereby certify that!have read and examined this application and know the same to be true and correct AO provisions of laws and ordhances governing this <br /> type of workwflhlit completed whether specified heroin ornot The granting of a permit does not presume to etve a orityto violate or cancel the provisk,ns of any otheratate or <br /> local law regulating construction or the performance of construction. That t am authorized by the owner of this property to perform the work for which application is made and I <br /> comply eh the State Contractors taw 18.27 RCW and 288200 WAC <br /> City of Everett Official Use Only <br /> FEE / 63 <br /> /n410 <br /> PERMIT# <br /> 2-12-13 E - 041 <br /> Owned u or zed Agen Signature Date (Revised 10/12/2016) <br />