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04"' ELECTRICAL PERMIT APPLICATION <br /> CITY 0-EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (!')425-757_8811 t c::AY 425-257-8857 <br /> (_)evarettsosla7.e`.er'ttwa.gov I wo.+,vr.everal`ova.govtDarmir; <br /> PROJECT.SITt 4NFORM&T16N <br /> PROJECTADORESS: (D`I_ _}-1,-1 1:q....__,____. <br /> 4U:Jr!NO AREA - <br /> ,3:,f 3 tY _ AZ _ <br /> US=OF S'..,1 <br /> . :_ ELECTRI 045 APPL1 dAttbNIINfple4tION <br /> CONTRACT PRICE OF WORK:$ 2_ 0 ,tan <br /> NUMBER OF DEVICES if low vOlIA3AI: <br /> FIRE ALARM? E YES ENO <br /> ASSOCIATED BUILDING'PERMIT# ff aup icablcp <br /> _ i�EaCRlanoti OE_YICORIC:. _.__..,___.__ <br /> C '�`d.L5e3CR fl bt sl. tct 9 t ah t <br /> OWNER NAME: A , ' e a 1, •• #' - <br /> TENANT NAME fCommsrrale <br /> OWNER MAILING ADDRESS: are_.- • (1 k% <br /> .rev '-• jig <br /> ;r•= ` WT a ^n V <br /> e)OWNER PHONE: V . q�3 • <br /> COSTRrAOT DG'NAME: ('. <br /> OWNER EMAIL: <br /> DNTRA..TOR ADDRESS: <br /> CONTRACTOR PHONE : .,�,Ci O sure A- no ! <br /> —.� I�� � CONTRACTOR EMAIL: - - � <br /> -ORTFARLI yMMUIRED}: Il' 1 1, ;VE' E L JA...; s e 11 <br /> VI 4 a �' 'T� CITY OF V£REft'-BUSINESS LIC. `REOUtRED): _e a.i....— <br /> PRIMARY CONTACT: 0 OWNER t CONTRACTOR ❑OTHER-(Please Specify). <br /> CONTACT NAME: <br /> 1 .Qy"7�/�on CONTACT PHONE: 7 359 o • <br /> c•"a+"JCONTACT EMAIL:deb11• Vkteati .(0221 <br /> AGREEA.fENT.:l hereby certify that/have read end examined this application end know the same lo be tore end correct.AO <br /> of work wet ha completed whether specified herein or not.The granting ore permit does AOPrestene to of <br /> alve lone!taw'fIng construction or the performance of construction.That l am authorized by the Winer of Oilspropertyto rh/ror m the swork for whicd h application is m type <br /> comply with the State Contractors Lew 18.27 RCW and 295.200 WAC, artil'ta � cancel the prvASfons of enyotherslele or <br /> pe <br /> City of Everett Official Use Crly <br /> !J„I..L.� PERMIT# <br /> a� aA 110b� EIter0-� 215 <br /> cNr.,/AUl s <br /> gen(S�gnature ` <br /> Ca:e <br /> (Revised S,� .tf <br /> t 23r2c 1f) <br />