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4en- cLECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> 'PROJECT ECT SI ITE I ,NFORMATION <br /> ADDRESS: `)(,ICl 7) I�� �i CO'C )1 ' �1 I(� I VI e T\ A i\ / �l �i L- ) —2 I <br /> � �� l� , Ic�r� . IL �i (n 1 <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: 12:re(I i(i P ve f'eu <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ G=, 00O <br /> •NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# if ap•licable): rr <br /> DESCRIPTION OF WORK: 11/1 (11(j AI] u I: . (tri! f t/f -fi,/(f -kr <br /> CONTACT INFORMATION <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNERp� EMAIL: <br /> CONTRACTOR NAME: Brad Iger ������� �'�h� efc �,�� cm-n[ 1 <br /> CONTRACTOR ADDRESS: STREET PO Box 13266 <br /> CITY Everett STATE WA ZIP 98206 <br /> CONTRACTOR PHONE: 206-718-8823 CONTRACTOR EMAIL: Bradliger@dunstonbradley.com <br /> CONTRACTOR LIC.#(REQUIRED): DUNSTB199140 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 39142 <br /> PRIMARY CONTACT: 0 OWNER ®CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> AGREEMENT:/hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> 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 tine Slate Contractors Law 16.27 RCW and 296.2000 WAC. <br /> City of Everett Official Use Only <br /> n PERMIT <br /> �� ��, E LOH <br /> Owner/Authorized Agent Signature Date (Revised 9/23/2016) <br />