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ULCCCT IICA IAC MIT Ar_"L CATllON �0,,,v,,,,,..„,, 4 CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 98201 (P)425-257-8810 j FAX 425-257-8857 I (E) everetteps@everettwa.gov f www.everettwa.gov/permits PROJECT SITE:INFORMATI a,` ,. PROJECT ADDRESS: 1 q ?e `j.7 k%4 54 -e.,, ,.,g- J }- BUILDING AREA(if residential,new construction, remodel,or addition) SF F �q BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ICOMMERCIAL IUSE OF BUILDING: L � (9- e-- ELECTR>lCAL APPUICATION INFORMA`flON CONTRACT PRICE OF WORK:$ (.(g,9 — NUMBER OF DEVICES(if low voltage):, 2.— FIRE ALARM? 0 YES t NO ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: I beta-eta /.-h-ct, 11.141rAer 6 e -e_ droe r�t,�c� :',: ..CONTACT INFORMATION. - OWNER NAME: J 0 S,49.y S ).--t--L. TENANT NAME(If Commercial): k)e60- kr-7/ft OWNER MAILING ADDRESS: STREET CITY V 1A,601,49 ki, STATE ZIP OWNER PHONE: OWNER EMAIL: _ j CONTRACTOR NAME: -c-ft WHAM-� ,. ... .01,V il2.. . .4., e`etAl- CONTRACTOR ADDRESS: sTReEr moi(?/11 /3 4('m 5171- 14/4 �f© -�7 CITY fr1 (,F STATE (M4 ZIP (j,77•'! / CONTRACTOR PHONE: (17,4-"Z•1-117— �p ' `''f CONTRACTOR EMAIL:I Ery- q,2 'p cad a, !ssr!swci,: P i CONTRACTOR LIC.#(REQUIRED): �At 0-4-U li€5 Lk CITY OF EVERETT BUSINESS LIC.#(REQUIRES : PRIMARY CONTACT: El OWNER CONT-�❑OTHER(Please Specify) ' CONTACT NAME: CONTACT PHONE: 417-1' -.5- 1 4 1 CONTACT EMAIL: J e r,-� 6 etc,-f-G �� ca440,40 AGREEMENT T her y 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''_ i. 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 st `rfi/""'C local law regulating construction or the performance of construction. That 1 am authorized by the owner of this properly to perform the work for which application is made and b G e, comply with the State Contractors Law 18.27 RCW and 296.200 WAC. 4iT _ City of Everett Official Use Only FEE . 50 ..----------- PERMIT# S3-7,--- til � -� � �c � c � C Owner/Authorized Agent Sig ture Date (Revised 90/92/2095)