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� . <br /> ELECTRICAL PERMIT APPLICATION <br /> Ey CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits <br /> ?" � PROJECT SITE INFORMATION <br /> PROJECT ADDRESS�-��'aVICDOUgaII AV@ <br /> BUILDING AREA(if residential, new construction, remodel, or addition) 12,830 SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: � COMMERCIAL <br /> usE oF Bui��iNc: Retail Office Warehouse <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $� �7�� ' <br /> NUMBER OF DEVICES (if low volta e): t % `����%� <br /> FIRE ALARM? m YES ❑ NO � Y G'%,/?����5 <br /> ASSOCIATED BUILDING PERMIT# (if applicable): <br /> DESCRIPTION OF WORK: F1'7/=� f`/—'���'�� <br /> b L' <br /> CONTACT INFORMATION <br /> owNER rvAnnE: Hill Street Investments TENa,rvT rva,nnE(if commerciai): Manor Hardware <br /> OWNER MAILING ADDRESS: srREET PO Box 5459 <br /> cin Everett srATE WA ZiP 98206 <br /> OWNER PHONE: 4Z5.754.0700 OWNER EMAIL: <br /> CONTRACTOR NAME: Ulllt@Cl EIECtfIC COfltfaCtOfS, �I1C <br /> CONTRACTOR ADDRESS: srREET 52�� SOUtII ZI1CI AV@ <br /> c,T,. Everett STATE WA Z,P 98203 <br /> CONTRACTOR PHONE: 425.252.781 1 CONTRACTOR EMAIL: Utllt2d212CtfIC@COf71CaSt.fl2t <br /> CONTRACTOR LIC.#(REQUIRED): Utllt@@C�761716 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): O�9434 <br /> PRIMARY CONTACT: ❑OWNER �CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425.252.7811 <br /> Dave Hammer corvra,cT Ennai�: unitedelectric@comcast.net <br /> AGREEMENT.I hereby certify that 1 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 l 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 Eve�ett Official Use Only <br /> PERMIT# <br /> � E I�1 �1 ' l�� <br /> �� � � ;� <br /> OwnerlAuthorized Agent Signature Date (Revised 9/23/2016) <br />