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JLECTRICAL PERMIT1WLIGATION <br /> CITY OF EVERETT PERMIT VICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 1 (E) everefteps@evere.ttwa.gov 1 www.everettwa.gov1permits <br /> C <br /> PROJECT ADDRESS: —rhe <br /> BUILDING AREA(if residential, new construction,remodel,or addition) <br /> BUILDING TYPE: 11 SFR-DETACHED f]SFR ATTACHED 11 DUPLEXMULTI-FAMILY-#OF UNITS-_ EICOMMERCIAL <br /> USE OF BUILDING. <br /> CONTRACT PRICE OF WORK-$ <br /> R -AL-.. <br /> ELECT C A <br /> 2� 1l0 <br /> CONTRACT <br /> OF DEVICES (if low voltage). <br /> FIRE ALARM? X<Es 11 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): oe <br /> DESCRIPTION-OF WORK- <br /> 0.......A"*"- <br /> TENANT NAME(if Commercial): <br /> OFQWNERER MAILING ADDRESS: sTREEr <br /> 71 CITY STATE 7jp <br /> OWNER PHONE: OWNER EMAIL <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREET SOW <br /> CITY <Ialtke I STATE mhf zip Y/247 <br /> CONTRACTOR PHONE: ?U*. 1CONTRAGTOR EMAIL: <br /> CONTRACTOR LIG.#(REQUIRED):14L4W 1 g��h/ale- ICITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: El OWNER m�TuVCONTRACTOR 11 OTHER(Please Specify) <br /> CONTACT NAME.-Q,/ CONTACT PHONE- —2-5- S(,- _5:e�7S <br /> CONTACT EMAIL: I <br /> 2A? <br /> AGREEMENT Thereby certify that/have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this <br /> type of work will be completed whether specified herein ornot. 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 orthe 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 18.27RCWand 296.200 WAC. City of Everett official Use Only <br /> FEE <br /> PERMIT# <br /> 0 nerfAut6orlized Agent Sig Lure Date (Revised 10/12)2015) <br />