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.....____,...... <br /> 04177" tiLtt;I liflUAL VittlIVII I APPLIVA I HAM <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 f (E)everetteps@everettwa.gov I www,everettwa.gov/permits <br /> PROJECT SITE•INFORMATION <br /> PROJECT ADDRESS: morimmin <br /> BUILDING AREA(if residential,new construction,remodel,or addition) 111.! SF <br /> BUILDING TYPE: 'I SFR-DETACHED 0 SFR-A7TACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 13 COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INIFORMATIONI <br /> CONTRACT PRICE OF WORK:$ <br /> NUMBER OF DEVICES if low volte•e : <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT# if a.dicable: <br /> DESCRIPTION OF WORK: / 4 41 3t:AIIPLMMMIIIIIIIIIIIIIIIIIIIIIIIIIII <br /> CONTACT INFORMATION <br /> OWNER NAME: All i 04 4 I TENANT NAME If Commercial: <br /> — - <br /> OWNER MAILING ADDRESS: smear <br /> CITY <br /> STATE <br /> ZIP <br /> OWNER pHoNe LI 0'-'". - r". OWNER EMAIL: <br /> CONTRACTOR NAME: ' au, . <br /> CONTRACTOR ADDRESS: man. / <br /> 0 ',..... . <br /> CITY 1101 - ii'"I Ilk( STATE ZIP 411W <br /> CONTRACTOR PHONE: - ti - ANI; CONTRACTOR EMAIL a ct(icidn , 0 N. ) # 0.,:hf I Op 0 i(. 411 <br /> -_-, <br /> CONTRACTOR LIC.#(REOUIREpLeCf3 ' 4 I) CITY OF EVERETT BUSINESS LIC.CREQUIRED• . 11 , <br /> PRIMARY CONTACT: DOWNER CONTRACTOR 1:3 OTHER(Please Specify) <br /> CONTACT NAME: <br /> CONTACT PHONE: 14 .... ?.51 - I • 6 <br /> 1 ox. ' :-e-611- CONTACT EMAIL: <br /> AGREEMENT:T hereby certify that I have read and•examined this application and know the same to be true and correct All provisions of laws and ordinances governing this <br /> type of work WS 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 regutating construction or the performance of construction. Thal lam authorized by the owner of this properly to perform the work for which application is made and! <br /> comply with the State Contractors Law 10.27 RCW and 296.200 WAC <br /> City of Everett Official Ilse Only <br /> FEE <br /> 4fr,f <br /> PERMIT# <br /> 1 il y E 1 Le(15 --d 2)510 <br /> ariAtifisnrimai 4nanf in tura <br /> l'Imks <br /> 117.auleart 111/1019ntgl <br />