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03/21/2016 MON 12: 50 FAX 4252521666 CM Heating 0003/003 <br /> 10LECTRICAL PERMIT APILICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8510 1 FAX 425.257-8857 1 (E) eVeratteps@everettwe,gov f vwmeverattwa.gov/permits <br /> PROJECT SITE,INFORMATION <br /> PROJECT ADDRESS., t2q 6UxlAlrm_PDa OAZ49r vvA_ C)gr <br /> V _ I <br /> BUILDING AREA(If residantlal, new construction, remc)del, or addition) SF <br /> IBUILDING TYPE: M 9FR-DETACHED SFR-ATTACHED 0 DUPLEX LJ MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ALIAGMAT ON' <br /> W <br /> CONTRACT PRICE OF WORK: $ <br /> NUMBER OF DEVICES If low voltage); <br /> FIRE ALARM? 11 YES ONO <br /> ASSOCIATED BUILDING PERMIT# If applicable): <br /> DESCRIPTION OF WORK: <br /> )1�21d'ACA(j_ clas <br /> j 777777, "1M <br /> tOINTACT INFORMATION <br /> OWNER NAM15: (t?'7('vlt7'jeL TENANT NAME(Ir Commercial); <br /> OWNER MAILING ADDRESS: OTRLLT 1�101 Ot &"lt\QLf_ D <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL; <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: (ITREET <br /> C Fry STATE \IVA- ZIP <br /> CONTRACTOR PHONE: qo�5 CONTRACTOR EMAIL: nukzj�t(IA 6)cim.� <br /> CONTRACTOR LIC,;N(REQUIRED): Q)±L9.n2h 277 d ICITY OF EVERETT BUSINESS LIC,#(REQUIR120): <br /> PRIMARY CONTACT: 13 OWNER �O/CONTRACTOR Ll OTHER(Please Specify) <br /> CONTACT NAME, CONTACT PHONE; <br /> N"40- CA CONTACT EMAII., m-LA A M �)CLL\� ry e_ 0 nll <br /> A(9REEMEN7.,7 hereby certify that I have read and axamInekoffs application and know tho some to be true and correct. All provlslons of laws and yr ces governing this <br /> type of work wUl by completed whether spr3o/Rad herein or not. The granting of a permit does not presume to gJV6 authority to violate or cancel the pro v1slons of any other State or <br /> tonal law regulatfnp construcflon or thv performance of construct/on. That I&)??authorized by the owner ofthis property to perform the work for which application is Made and I <br /> comply with the State Contractors Law 18.27 RCW and 266,200 WAC. <br /> City of Everett official Use Only <br /> F I-Fz <br /> PERMIT 9 <br /> E <br /> owneriAtitharlzad Agent Signature Date (Revised 1011212015) <br />