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03/21/2016 10:32 FAX 4253389600 Windermere M2 LLC 0001/0001 <br /> ILECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> PROJECT ADDRESS: S5i S Er O Arc . e_vjo_ Qez�2_0 <br /> BUILDING AREA(if residential, new construction,remodel,or addition) I r`'6220 _SF <br /> BUILDING TYPE: 10 SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: <br /> 14 11 NMI <br /> s : <br /> CONTRACT PRICE OF WORK:$ <br /> NUMBER OF DEVICES if low voltage)-, <br /> FIRE ALARM? YES? ❑NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: _15q <br /> IN <br /> �� <br /> OWNER NAME: Ft%I r \ TENANT NAME If Commercial <br /> OWNER MAILING ADDRESS: STREET (Gts /�( <br /> CIN STATE Q I�A 1IF y ZIP /V <br /> OWNER PHONE: R� Olt OWNER EMAIL: <br /> ,�. . .. <br /> CONTRACTOR NAME: 1 ( L <br /> CONTRACTOR ADDRESS: STREET <br /> CIN STATE Zip <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: wkwaiki <br /> CONTRACTOR LIC.#(REQUIRED): ►1 �� CITY OF EVERETT BUSINESS LIC.#(REQUIRED): CiYI ; <br /> PRIMARY CONTACT: ❑ OWNER ❑CONTRACTOR J4 OTHER(Please Specify) kLaZDC. r <br /> CONTACT NAME: CONTACT PHONE: 2S--23 Z <br /> Ia-vuV_R_ CONTACT EMAIL: <br /> Orickviff.42 G<AYt 2 r w t-e. G4Y1�1 <br /> AGREEMENT Thereby certify that/have read and examined this application and know the same to be true and correct_ All provisions of laws and ordtinances governing this <br /> type of work will be Completed whether spedfied 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 /> k)Ca/law regulating 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/ <br /> comply with time State Contractors Law 18.27 RCW and 298.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> E l l 0 - I"? <br /> A#,'id Agent Signature Cate (Revised 10/12/1015) <br />