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111 <br /> ?EC RICAAL PEP-Ii.iliffilr APPLiCATllON <br /> CITY OF EVERETT PERMIT SERVICES <br /> �--- • 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PR '.•JE �T:SITE`INFORMATION::`=. <br /> PROJECT ADDRESS: Lel In� <br /> �Jc ' S'i- &N/ '�A l}Q� ;y S <br /> BUILDING AREA(if residential,new construction,remodel,or addition) ��- SF "t l��'" <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: jOMMERCIAL <br /> USE OF BUILDING: C; 'k_C j <br /> ` .';:. : <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ 2_, -(50-------=--- <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: ali.a�!• ► 1 �' �..► - <br /> AJI _ • <br /> kira-5 t.,Mv L. S <br /> CONTACT INFORMATION, <br /> OWNER NAME: At - .—, <br /> AIN Ill TENANT NAME(If Commercial): „rte <br /> OWNER MAILING ADDRESS: STREET / 0 51Y1 S S <br /> CITY ii.�`I STATE ZIP / , �'V <br /> ' <br /> 1OWNER PHONE. V / ,1 -- D- OWNER EMAIL: " \ g r �l ��\ <br /> r A <br /> L er <br /> CONTRACTOR NAME: ' 11 r , illRdriMZIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> CONTRACTOR ADDRESS: sTRE 'toga <br /> c i- Q <br /> V <br /> _ - STATE G ZIP �,� <br /> CONTRACTOR PHONE. S 33 ?S - - CONTRACTOR EMAIL ASO1 <br /> CONTRACTOR LIC.#Q EQUIRED): A .4}/. 'D C' LA:a V.'Le CITY OF EVERETT BUSINESS LIC.#(REQUIRED) Aar <br /> PRIMARY CONTACT: 0 OWNER 40.NTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:Lka'n,- 33-1......-30p. _ <br /> J LA �- ALL-'I S DNA CONTACT EMAIL: A-1) - CAAS ,;7-5 , /Owl <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 lam 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 18.27RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> ........_dv-\_ A E 1 %Co-cit <br />