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10LECTRICAL PERMIT *PUCAT�ON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 (E) everefteps@everettwa.gov www.everettwa-gov1permits <br /> PROJECT ADDRESS: iscle-ty--t <br /> BUILDING AREA(if residential,new construction,remodel,or addition)_ SF <br /> BUILDING TYPE: 0 SFR-DETACHED 11 SFR-ATTACHED El DUPLEX 0 MULTI-FAMILY-#OF UNITS- OMMERCIAL <br /> USE OFBUILDING: <br /> W-AA <br /> IL. P P <br /> CONTRACT PRICE OF WORK: 62 00 <br /> UMBER OF DEVICES (if low voltage); <br /> FIRE ALARM? 11 YES dNO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: <br /> Ly 5 Jlex <br /> 'e_r. Tf2-a TENANT NAME(if Commercial): <br /> OWNER <br /> FOWNER MAILING ADDRESS: STREET <br /> crryfA zi 'C <br /> OWNER PHONE: V OWNER EMAIL; <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: _3 <br /> CONTRACTOR EMAIL: <br /> REQUIRED): <br /> CONTRACTOR LIC.#(REQUIRED): <br /> CITY OF EVERETT BUSINESS LIG. <br /> L1CONTRA( ® V OTHER(Please Specify) <br /> PRIMARY CONTACT. [I OWNER ':�F� <br /> CONTACT NAM - I CONTACT PHONE: L,(05 <br /> — LL CONTACT EMAIL: <br /> AGREEMENT.Thereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances govamfng this <br /> type of work wilt be completed whether-specified herein ornot The granting of a permit does notprersume to give authority to violate or cancel the provisions of any offierstate or <br /> local law regulating construction orthe performance of construction. That I am authorized by the owner of this property to perform the work forwhich apprication is made and I <br /> comply with the State Contractors Law 18.27 RCWand 296.200 WAC. City of Everett official Use Only <br /> FFE <br /> PERMIT# <br /> Date (Revised 1011212015) <br /> 0)gAar/Au lhorized Agent Si Lure Date t-� <br />