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"4 L.ECTRICAL PERMIT APPLICATION
<br /> KATION ���oI
<br /> J 3 CITY OF EVERETT PERMIT SERVICES
<br /> �P)425-257-8$10 FAX 200 CEDAR STREET, EVERETT,WA 98201
<br /> I AX 425-257-8857
<br /> (E)everetteps a@everettwa.gov( www.everettwa.gov/permits
<br /> PROJECT.SITE INFORMATION O ,' ,=�2
<br /> PROJECT ADDRESS: "
<br /> * 2 2 ver• t .PerN w a e.
<br /> BUILDING AREA(if residential, new construction,remodel,or addition) SF
<br /> BUILDING TYPE: ID SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX ©MULTI-FAMILY-#OF UNITS:
<br /> • OF SILDlNG:
<br /> COMMERCIAL
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<br /> CONTRACT PRICE OF WORK: $ ' "
<br /> NUMBER.OF DEVICES if tow volt ':e
<br /> w 1V
<br /> FIRE ALARM? D YES I �O /
<br /> ASSOCIATED BUILDING PERMITNft(if applif
<br /> DESCRIPTION OF WORK: }{x ,r C,4,�►-+.S Fehr 0../.ct, �C a`.�r, C00/‹...r•
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<br /> i — AD r) /"P -- - 4)
<br /> OWNER E: µt g V $ (1 bakts TENANT NAME(If Commercial}: t1+aCO 3O t b •
<br /> OWNER MAILING ADDRESS: s."' f b i� t;[2—. �C '...44.-4-8/".1
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<br /> CIV( :,--- -1-0 T'f STATE a-
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<br /> Obi NAME:
<br /> Ct 04',.: �t" cx
<br /> CO WTOR ADDRESS;, STREET �'{Y` 'maatt t I< {/ t t i .} y� Q
<br /> apt .m '',,'iK' l �"'J - STATE l'"' ZIP fir'` ��}�
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<br /> CON. 151
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<br /> a -1�HCtNE 2 `1 1�». :t CONTRACTOR EMAIL: tvb (5t44,4-�nc t o .c,a, )
<br /> • }•�4 (; i i iii'! CITY OF EVERETT t USINESS LIC.#(REQUIR D).
<br /> Ct9NTRA `.,e t LIC REQUIRED,
<br /> PRIMARY CONTACT: C1 OWNER 0 CONTRACTOR )3 OTHER(Please Specify) 1e4 t" ` '�
<br /> CONTACT NAME: CONTACT PHONE: 2,0 fa -~ S -- 1
<br /> L ( ! e'' CONTACT EMAIL: 1 k 1rS ,t,aGk~�C't t 41),U Ve, «C•' M
<br /> ,: AGB3 MEN7:=t hereby certify that t have read and exam fined thisapplication and know the same to be true and carred Alt provisions of taws and ordinances governing this type
<br /> of work of be completed whether speafted herein ar not. The granting of a penn/f does not presume to give authority to violate or cancel the provisions of any other slate or �,,,
<br /> loCa#taw regulating
<br /> construction or the perromrance of consfruatlon. That I am authorized by the owner of this properly to perform the work for which application is made an t
<br /> ttilg
<br /> Comply with the State Contractors the
<br /> 78.27 ROW and 296,200 WAC.
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<br /> A,,,,,44‘.,
<br /> 41, }at . ,, a ,a ,' P✓tfj t} YE d1 $i t PCd � �
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