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ELECTRICAL: PE MIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 f FAX 425-257-8857 j (E)everetteps@evereftwa.gov) www.everettwa.gov/permits <br /> PROJECT ADDRESS: ! bT0..\1d ‘(/t. 6 l LL�y LA )5/ It! <br /> BUILDING AREA(if residential,new construction,remodel,or AI ition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED� fEl SFR-ATTACHED I21 <br /> I21DUPLEX El MULTI-FAMILY-#t OF UNITS: M COMMERCIAL <br /> USE OF BUILDING: jO J4 , EVEe_E 1 1 • <br /> Ei`ECTR CAL:A,pa iCATIoR4 1Weifi ATION <br /> CONTRACT PRICE OF WORK:$ (} ! 000 <br /> NUMBER OF DEVICES(if low voltage):• <br /> FIRE ALARM? ❑YES NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: "1—y-)(3.1-cA.l 1 i \--)ano s1 E?_1 'tia �."�"�```E F;'!1`.':, s ce 'hick i-(N <br /> ca. -- -Coy 4--oot s 7 _ I O W t (o O , <br /> foP11aw16 cob.-)or + p h'i t1L (,,it <br /> 11 PME 110 LO I teCo0 - '6?) <br /> ' CONTACT. INFORMATION•.. : <br /> pp <br /> OWNER NAME: TENANT NAME(If Commercial): D .-N6i <br /> OWNER MAILING ADDRESS: STREET pa &7x 37o7 t- /d <br /> cm 501-771.� STATE WA- ZIP-//�U/G/ <br /> 2'jL 2267 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: ( ),JE C�fJ(..)5Tt211677DA) <br /> CONTRACTOR ADDRESS: STREET PG' i3ox 4/p <br /> crr- "nag M-TE2.2 sTATEA 1 <br /> rtw,....�. ,.x. npgg. 2.0 <br /> CONTRACTOR PHONE:426-294-0 4 CONTRACTOR EMAIL: kie eiH4 mE-gg) &'fl <br /> CONTRACTOR LIC.# EQUIRED): 6,.ENwwEC $ll..•DZ CITY OF EVERETT BUSINESS LIC.CREW RED):.L.59/ <br /> PRIMARY CONTACT: ❑OWNER ®CONTRACTOR ❑OTHER(Please Specify) <br /> / <br /> CONTACT NAME: ,� CONTACT PHONE: Z06-736-6szt•lp <br /> . DeNNIS Clea(il CONTACT EMAIL; DENA/is,c.,_gOL kin,/ T. d„.0/1 <br /> AGREEMENT*T hereby certify that t have read and examined this application and know the same to be true and correct All provisions of taws 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 lam 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 298.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 32,7 : <br /> PERMIT ft <br /> I \ E I - 0# t <br /> O /Au or zel[en Signature Date (Revised 70/7272075) <br />