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I 7CTRiCAL PERMIT AP CATION <br /> Alb,./411j0 CITY OF EVERETT PERMIT SERV CES <br /> - 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> • PROJECT SITE INFORMATION <br /> PROJECT ADDRESS: 2.202 lAkiir Q a2,E <br /> BUILDING AREA(if residential, new construction,remodel, or addition) SF <br /> BUILDING TYPE: El SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: *COMMERCIAL <br /> USE OF BUILDING: CAA-PC/a...4' Or---66.(r. <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 40, pap. 00 <br /> • <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Th/ f- /✓''itocrioUti/Iii Lc(vn• N 6h/ jil G►J/I f�t1 / 44,-6YL <br /> E1/-f l 'AlG M-4 r GJ Al/LS , CA9 t i.J6 f G1-i 6 E" . n fi7 OC47�, t/ -7 <br /> ELRA- r4C-A-L As (2-E'av1�-6-)0- <br /> CONTACT,INFORMATION <br /> OWNER NAME: -ti/VIG O / JnJG- TENANT NAME(If Commercial): FL)A /L <br /> OWNER MAILING ADDRESS: STREET /Z bb/Z�✓V'-7/�.S lig-S410 Lek/(47 <br /> n <br /> CITY 6Vr /J STATE 1/V9- V ZIP ' "3 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: /51(4 0.(2-P o 6L[i7)4/4( <br /> CONTRACTOR ADDRESS: STREET {Bo^X -?9-/ 1-0 ) 2 <br /> CITY c l 1 f/� /STATE '/� / ZIP 9r/ /'7 <br /> CONTRACTOR PHONE: Zb.411, b ) CONTRACTOR EMAIL: je f f <br /> CONTRACTOR LIC.#(REQUIRED): Fief FtT3 9 29 PL CiTY OF EVERETT BUSINESS LiC.#(REQUIRED): 0177 66k <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 7,,t)6 . 4. 6,_ b '/II <br /> JCPF 01- 6)k) CONTACT EMAIL: ie- r,,{ rr, je Iec c us <br /> AGREEMENT::T hereby certify that I have read and examined this application and know the same to be true and correct. AlYprovisions 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 I am authorized by the owner of this property to perform the work for which application is made and I <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 /> /1 /1E / oO / <br /> OwneyAuthorized .genes. ature Date (Revised 10/12/2015) <br />