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LECTRICAL PERMIT A.PPLICATION <br /> CITY OF EVERETT PERMIT <br /> WVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 (E) everefteps@everettwa.gov www.everettwagov1permits <br /> 7 <br /> PROJECT ADDRESS: S <br /> BUILDING AREA(if residential,new construction,remodel,or addition)- SF <br /> BUILDING TYPE: EISFR-DETACHED EISFR-ATTACHED EIDUPLEX El MULTI-FAMILY-#OF UNITS-_ COMMERCIAL <br /> USE OF BUILDING: 71 .- I= <br /> APP N <br /> CONTRACT PRICE OF WORK-$ <br /> INUMBER OF DEVICES (if low voltage). <br /> FIRE ALARM? 11 YES �Mo <br /> ASSOCIATED BUILDING PERMIT#(rf applicable): 'e�f oc — CA Gy-- <br /> DESCRIPTION-OF WO RKZ -Lb L k"PLA42 <br /> 0 <br /> N - <br /> EP,NAIV12�� P- <br /> 6(!;, ALV, TENANT NAME(if Commercial): A—, 4; ws <br /> fOWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: —JOWNER.EMAIL: <br /> —1.—1-1......—I <br /> CONTRACTOR NAME: M e1 -\;) e—, Q 'PlaCmt LC <br /> CONTRACTOR ADDRESS: STREET PO <br /> CRY STATE I A.) 1A ZIP 56 <br /> CONTRACTOR PHONE lCONTRACTOR EMAILJ:��f L- cow., <br /> CONTRACTOR LIC.#(R�EQU1Pd=-D)- CITY OF EVERETT BUSINESS LIC.#(REQUIRED)45'43'79 <br /> PRIMARY CONTACT: 0OWNER *ONTRACTOR EI OTHER(Please Specify) <br /> I CONTACT NAME: CONTACT HONE. <br /> CONTACT EMAIL: <br /> VAt""k$519'tm: <br /> AGREEMENT.'Thereby certify that 1have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this <br /> type of work will be completed whether specified herein ornot The granting of permit does not presume to give authority 16 violate or cancel the provisions of any other state or <br /> local law p9gulafing construction or the performance of construction. That/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 18.27RCWand 296.200 WAC. City of Everett Official Use Only <br /> FEE <br /> A PERMIT# <br /> E <br /> t /Authorized Agent Signature ale (Revised 1011212015) <br />