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*ELECTRICAL PERMIT #PLICATION <br /> P <br /> CITY OF EVERT PERMS VICES <br /> & <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 WWW.everettwa.gov1permits <br /> PROJECT ADDRESS: CQ <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: Cl SFR-DETACHED [I SFR ATTACHED F1 DUPLEX E]MULTI-FAMILY•-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> PRICE OF WORK-$ <br /> N' <br /> FCONTRA <br /> MJIM13E <br /> NUMBER OF DEVICES (if low voltage); <br /> FIRE ALARM? 0 YES F]NO <br /> ASSOCIATED BUILDING PERMIT# applicable): <br /> DESCRIPTION-OF WORK: N,:> '7S Q, •I <br /> • <br /> 0 <br /> Nt <br /> TENANT NAME(I f Commercial): <br /> OW Eft NAMj%-.----z <br /> OWNER MAILING ADDRESS: STREET <br /> CITY K STATE —zip 9 <br /> OWNER PHONE: OWNER EMAIL- <br /> CONTRACTOR NAME: k�bs&lty El-pc-tc�p--d <br /> CONTRACTOR ADDRESS: STREET � -Q - (&)& C:)LA 0 <br /> crry CAO-1 P-t` STATE zip <br /> CONTRACTOR PHONE., ]CONTRACTOR EMAIL* Cinc" Lm S'l"i <br /> CONTRACTOR LIC.#(REQ'UIRED)- ems's 9iC' Q)911 AfCITY OF EVERETT BUSINESS LIG.#(REQUIRED); <br /> PRIMARY CONTACT. Ej OWNER )<CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 4la-5 --j'f)Lj— B-55'162 <br /> Lf)n C)i'd �( SCONTACT EMAIL- AA^ )a -. <br /> AGREEMENT.'Thereby certify that 112.ve 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 will be completed whether specified herein ornot. The granting of a permit does not presume to give aulhorffyto violate orcancel the provisions of any other state or <br /> locallawregulafing construction orthaperfibanance of construction. That I am authorized bythe owner of this properlyto perform the work forwhich 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 /> PERMIT# <br /> E <br /> io, d A, ntS�qnt.r (Revised 1011212015) <br /> 0wne.r1AA,u,t1fior ed Agent Signature Date <br />