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153-7Z1I5360 <br /> 4E17- ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION ,.: <br /> t n �1 (' ',. <br /> PROJECT ADDRESS:7:707.,0 1 V 64" 61- 6'Wr E V rt'+} \ t Gc1j ZO l-( <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 /> USE OF BUILDING: 1......“AGo1 VAHco a- 3TOtx.cje. <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ Dj f y QC) <br /> NUMBER OF DEVICES(if low voltage <br /> FIRE ALARM? Ir YES NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: hn c") JL(A-cloov-' \no\ 4 c rir'ke►r-c c , cur <br /> TA,Au11,v,5 ckoQ ' c: 4 I-S 6 tAOv s 01-1.4_. <br /> Z 1(yCLA CS f > 4-/J O .. ,‘,,,S conek •te n c�l 1.,\etv Nocke...k v ,p <br /> CONTACT INFORMATION <br /> OWNER NAME: L j tAc.Olvt 1"\flJ t hq al3p rr;.o e TENANT`` NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET ?j y Z,0o 4-30A-k1 O4-c4 <br /> �N�4S+- 11/4.") <br /> ,.J1 <br /> CITY . - kA. <br /> STATE V`� A ZIP ef (603 1 <br /> OWNER PHONE:\I-1 ZSJ 7.-CD —5 et 00 OWNER EMAIL: <br /> CONTRACTOR NAME:Washington Alarm <br /> CONTRACTOR ADDRESS: sTREET2030 Airport Way S <br /> CITY Seattle STATE WA ZIP 98134 <br /> CONTRACTOR PHONE:206-436-5301 CONTRACTOR EMAIL:Permits@washingtonalarm.com <br /> CONTRACTOR LIC.#(REQUIRED):WASHIAI282C3 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):025389 <br /> PRIMARY CONTACT: OWNER ',ONTRACTOR L/ DTHER(Please Specify) Permit Coordinator <br /> CONTACT NAME: CONTACT PHONE:206-436-5301 <br /> Manny Or n e l a s CONTACT EMAIL:Permits@washingtonalarm.com <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 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 /> 00 <br /> PERMIT# <br /> ,111-41111111r <br /> tv �� E -e i1(0--nature Date (Revised 10/12/2015) <br />