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ATINAPPI477 E!E T AL PERMIT C RC C O <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE INFORMATION <br /> PROJECT ADDRESS:3QC1Cj PE +vlr✓"`'F_l' CD 40 58 UI wit.iG <br /> BUILDING AREA(if residential,new construction,remodel,or addition)} -10500 SF <br /> BUILDING TYPE: 0 SFR-DETACHED o SFR-ATTACHED 0 DUPLEX o MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $293,240. 00 <br /> NUMBER OF DEVICES(if low voltage): &I A <br /> FIRE ALARM? o YES o NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable):DESCRIPTION OF WORK: i•15 4LC- etli iieCi DC�Ic' �S I-Cfc pi1;141- �C'o� /p <br /> txr, 4i.ic&t <br /> CONTACT INFORMATION <br /> OWNER NAME: =,b0C4, TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET (__ <br /> CITY STATE ZIP , <br /> OWNER PHONE: <br /> WNER EMAIL: <br /> CONTRACTOR NAME: 56 3C:t.14 pJ <br /> CONTRACTOR ADDRESS: STREET 15 i G} Me. ci Za') <br /> CITY Dt")c014D STATE LA . ZIP g8052 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED):5 Ci.OL.L.9'7 75c4 CITY OF EVERETT BUSINESS LIC.#(REQUIRED):40i,46 <br /> PRIMARY CONTACT: O OWNER • CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME CONTACT PHONE: 426 76.3c,`. 30(1 4 <br /> M`CGL6 ,&.14T® CONTACT EMAIL: - n Et M c���� „Am) s�-�c,rrx.01 . <br /> AGREEMENT:I 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 type <br /> 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 I am 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 /> PERMIT# <br /> E <br /> n /Au rize gent gnature Date (Revised 923/2016) <br />