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LECTRIVAL PERMIT L ATII N <br /> -rj CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 J FAX 425-257-8857 J (E) everetteps©everettwa.gov www.everettwa.gov/permits <br /> PROJECT SATE 9NF a RIVIA�'�e®N':: ' <br /> - <br /> PROJECT ADDRESS: leii 1115 vi to►ici A ye. Eve r0i+" ei f e,1 <br /> 1 BUILDING AREA(if residential,new construction,remodel, or addition) l 0 [SF <br /> ;BUILDING TYPE: ®.SFR-DETACHED ❑SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> iUSE OF BUILDING: ',stile ) <br /> ELECTRICAL APP UCATION INFORMATION . . <br /> CONTRACT PRICE OF WORK:$ 50 6 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES ❑NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: P(a:./'tC" Sae— D i') Ukfii1 -Cor \1nC.iu,dQ.5 <br /> WIetr- 9rovec po JC, cm-o<5 of UV cit, pe„✓Px pore,, ,-.o ws as 4)(34'9— bep <br /> G.01.40;INFORMATION.. -. <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: Ova <br /> .. ... `-�, `..., . .nem ,. ... . ....r,. . ., . <br /> .. , .. ... . . . . . - ... ..� . .. ... . ., <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: 0 OWNER sy 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> 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! <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 00,(). <br /> PERMIT# <br /> tgir 4fr' 74/2f [7:\1 <br /> Owner/Authorized Agent Signature Date (Revised 90/92/2095) <br />