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&EcTRIcAL PERMIT APPLICATION <br /> .,a CITY OF E EREETT PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 I FA)(425-257-8857 j (E)everetteps@leverett va.gev j w of evejrettvve.gov/permits <br /> PROJECT ADDRESS; -506 ' 7 <br /> BUIL DINt.,kOliREA(1f,residential new construction remodel,or addition) SF <br /> EUIL tNC3 TYPE' 'SFR-DETACHED El SFR_ ,- p Cl DUPLMCEl MULTI= AMILY #OF UNITS' II COMMERCIAL <br /> ISE OP BUILDING: <br /> ® Q <br /> ., . • . �� 1� <br /> N"t" OT PRICE OF WOR1<;$ <br /> NUMBER OP IEVICES(If low voI . . . : • <br /> FIRE ALAMNM? EI CI N1? <br /> ASSOCIATED BUILDING PERMIT#f?a bte): <br /> DESCRIPTION Ic N OFWORK: I V Sep*/c S 1,10.1 tVit4 .1 41,,of V TIC al <br /> .` � <br /> It 'AfAtltlt TENANT Nm aI <br /> f villlgRiwalc.tto ApoRess: sTRRET SOC; <br /> coy srgg .Gtr- 1;2-03. <br /> O ItN kPHQN : OWNER EMAIL: <br /> G 11NAPO: wasco etficw IC i <br /> CONTRA4vrcC DRESS. 'MEET <br /> ' me � :•; <br /> tirkf <br /> } <br /> CoNTRAc OR`PHONE. ". `°7 ONTRACCraR 1rNiAtl., <br /> ooNmc t t 11 . CITY OP�l 'BUSINESS . l <br /> P1 IIVMARY OONTACT. CI OWNEl NTACTOR El OTHER(Please a fy') <br /> (ONTAGT PHONE: <br /> CONTACT I��. N ';��, 4i-7 g1 <br /> f)t--10 O r civv oONTAGTEM L.» tit c•,kt,ittivi Z rt p <br /> AGREEMtENP r etebya 14,6'7stIhaw mad and examined MO Mot/Welland #a Enema Al/p vvlsiO o/Ia ar d qn inen 6 YeOlg:fots <br /> Opeotwodrvviiitehomet d whether sPholf tterehl°that 3' ng'orapeViLdresn�preszhIsivy°authohYytovlobteorcanet`theptaefaionsaff04rOfiter elate or <br /> /Doe/havelii;a1fitag construcftatr a tMe;gedonnonce piFcdrtstmott n, rh l auffwriked bythe°Mier ofthis.p epe*•to perform the work app04ettott to mafie and I <br /> c ompiy u fr fhe„St.9 O.nfrac eta taw t8.21ROWend 230,2..WA <br /> City 1'Everettpfilefel Use 004, <br /> FEE <br /> PERMIT <br /> , ' / / E <br /> l� 6 <br /> e short sd AgentSlgnature Date . (Revised fano/21)15) <br />