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L <br /> I ►� <br /> M <br /> I <br /> "11111 :1 <br /> vM CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98209 <br /> (P)425-257-8810 J FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> '' PROJECT SI'Z'E INFARMATION': <br /> PROJECT ADDRESS: 3105 Ptke SI <br /> BUILDING AREA(if residential,new construction,remodel, or addition) SF . <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: kft,k LA <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ (Pr006) adds 41.Ma tiO-Cite_, • <br /> NUMBER OF DEVICES(if low voltage):, <br /> FIRE ALARM? 0 YES )36;0 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): ''rr__ <br /> DESCRIPTION OF WORK: V 110/1-040 iP , �Cv4(Pcvs <br /> L eteva ArAr -ct.e4. not) . to • •'r; - �r <br /> • 1, -c(oe‘e -Iva ,revue o f-iov. (,eLt' h e :115k1 c ref 1444. 1�Ls 4 ar LZ 45 •) • <br /> 3 ee vales -1,7 (u cur Jar►AS J <br /> t. aAA P S 1 '6 .()1 v-s 3/141 5' w iitt lAnbve-rOv.5 -le seds'i-e-S <br /> - CONTACT INFORMATION. ' i':- <br /> OWNER NAME: 4clLvjr- 1 litt/42,0-1404445 TENANT NAME(If Commercial): . Witotij 1 km <br /> OWNER MAILING ADDRESS: STREET <br /> CITY - STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: y i4 `„gcrZ (- <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR_LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT:�...❑OWNER CONTRACTOR w�❑OTHER(Please Specify) �4.�.,...�,..,-.�.,ww..W..F�_.�w�..,.„��....��.Y_..�.�..osx,.......�m,_„�.�.-. <br /> CONTACT NAME: CONTACT PHONE: L ) -pi 3 —54,4 3 <br /> ZY4I D.9 %-'44, - CONTACT EMAIL: <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct Al/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 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> 60911* �6 /`� E H (o11 -- 0( O <br /> l <br /> • <br /> Ow orized Agent Signat Date (Revised 10/12/2015) <br /> . R /t5t on/k) - etd-j-e-d <br /> 4-0 5ceik (A)0-7k <br />