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ELECTRICAL PERMIT APPLICATION <br /> -,;,Tv �-- EVERETT PERMIT <br /> S'E?VtG <br /> qq �qq 32:33 Ca �DA.R STREET, EVERETT, WA 98201 <br /> -3313 I FAX 475-237-3337 i E) <br /> PROJECT SITE i MFORMATiON <br /> PROJECT ADDRESS <br /> 3UI:_Dt 4 AREA ''?:,°,33,-1-1 <br /> n: <br /> o,,:_O.`v.a. <br /> ELECTRICAL"APPLlCATIo iH ORMATl <br /> CONTRACT PRICE OF WORK: 3 0 <br /> NUMB:R OF DEVICES (if[o of is <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#i''ao.Dl.able? <br /> DEsCRt tQ4Y08f ___..__ 1 WP _ <br /> iligialzwimmimilins <br /> .__.,,. <br /> 'CO titACTIWOFt14tl iN <br /> i35410.1=7R NAME: <br /> TENANT N4IHE(ts Coat:TIttrxisi),; <br /> 34 NER MAtLESi,3 A00 <br /> =ice" >F :_ , s <br /> PXr1,71, <br /> f3 iii_ ! AIL: <br /> r. <br /> ,ONTRACTOR PHONE: ` �1 s p <br /> Sin A <br /> CONTRACTOR EMAIL. t • 0 , +jir ►� 411111 ,� � , P14W�� TOR Liv�( �dip-� •5F�"ntr- <br /> —CITY OF EVERETT BUSINESS LIC. 4 EQUIP f ;: r s <br /> • <br /> PRIMARY CONTACT: <br /> 0 OWNER fl CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: <br /> CONTACT PHONE: 5 a59 a <br /> I <br /> AGREEIy1=M.I heraby certify thatIhave dthlue CONTACT EMAIL: d' _ pi' I(f.an .COIN <br /> examined this application and know the same to be true and correct. Alt provisions of laws and ordinances governing <br /> of work wilt be completed whether specified herein or not. The granting of a permit does not resume to <br /> local law regulating construction or the performance of construction. p of authority to violate or cancel the provisions of anycther dtaandte type <br /> comply with the State Contractors Law 16.27 RCW and 296.2CC WAThat r am authcrtzed by the owner this property to perform the work far which application rs made and I <br /> City of Everett Cfficial Use Crit' <br /> 1 <br /> PERMIT# <br /> ACL j - 2I 1 I Ic- E I l 2 - 0 3 <br /> rrer. 9---1 <br /> c= Auflrize�Avert S:sr.ature <br /> Cae <br /> (Pevr ed 9,23,eC;E; """t <br />