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ELECTRIC PEMMIT A JCATflON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT ADDRESS: 3 S 16 !amu C Aq—zu eJ E,ZEtr A <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: COMMERCIAL <br /> sUSE OF BUILDING: SEQUO(iq N L,K • <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 5' <br /> NUMBER OF DEVICES(if low volt- e):' <br /> FIRE ALARM? 0 YES Cr 0 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: LO V t3C-7Yle la VAC 1'1 A-4-) 03-1. -- <br /> c r c-s � b Frc OI` (ST\ eo a t, sY<;' -,r4t) <br /> x- eQv o I A 31.16 sGteo _ 501 c c L•sbs -4{aM f10S <br /> ..... .. ...: ....:..:� :� � ;CON'I`ACT:INFORMATION:.:.: . � . . .:.. , <br /> OWNER NAME: eki ...rz.err. Pt sly-ACT- TENANT NAME(If Commercial): S •01)0)A 1A-1614" O <br /> OWNER MAILING ADDRESS: sTREET -3• •1 6,r��-. goo CE - 44 -t ) ' `/� <br /> CITY �JV��`��� STATE WA ZIP CiS2-0 <br /> OWNER PHONE: L(Z5) 395---Sl oo OWNER EMAIL: <br /> CONTRACTOR NAME: FL C �-L -C -(C I N C <br /> CONTRACTOR ADDRESS: STREET Pa (3bK a5- Q �q <br /> CIN S(cc, H S''t I.S (\ STATE 'V" P ZIP [ c.9 1 <br /> CONTRACTOR PHONE: (vba\ 8-9785- CONTRACTOR EMAIL: c i c 2 <br /> CONTRACTOR LIC.#(REQUIRED): VEPI GEZ EZS 33 Z'S-- CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER ONTRACTOR 0 OTHER(Please Specify) €?LC G'"1YZl C I C <br /> CONTACT NAME: CONTACT PHONE: (l{z \ 3 3 - g s- <br /> ca, Row CONTACT EMAIL: 5--e j e,b�b n @ ep;ceteck'i`c1 c,Co <br /> AGREEMENT T 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 <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 t am 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 296.200 WAC. <br /> _ City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> Owner'prized Agent Signature/ Date (Revised 10/12/2015) <br />