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-„ECTRICAL. PERMIT AOFL KATION <br /> CfTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 J FAX 425-257-8887 j (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> PIfZ( E 140.IkIUf�►TIQ�.: <br /> PROJECT ADI)RESS: CS?e- G� � <br /> BUILDING AREA(if residential, new construcEion, iemode), or addition) SI; <br /> $UiLDING TYPE: SFR-DETACHED ❑SFR-ATTACHED U DUPLEX El MULTI-FAMILY-#OF UNITS: II COMMERCIAL <br /> US);of BUILDING: -11 <br /> TILE®�' L't1L A�PLIG/ATIi�N 1�11FORI1I�,A;T10�1 <br /> CONTRACT PRICE OF WORK:$ <br /> NUMBER OF DEVICES (€f low voltage). <br /> FIRE ALARM? ❑YES No <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: / u <br /> bNTACT:1100 <br /> OWNER NAME: TENANT NAME(If COM111arciaf): <br /> OWNER MAILING ADDRESS: smpmr {��a ��t�T3 e, <br /> CITY <br /> 97n1E ZP <br /> OWNER PHONE:,q-j<; '^ �� �o� o ER EMAIL- <br /> CONTRACTOR 14AME: F>0p <br /> CONTRACTOR ADDRESS. sTpl= r X 0 3 <br /> STATE <br /> Cjn <br /> CONTRACTaR PHONE: ^t-�S --p �� t Z� CONTRACTOR EMAIL,d.o�r rc.r► d L n �✓ <br /> CONTRACTOR,I_fC.#(REQUIRI=D): C 4:)PO , 40 '00� C[TY OF EVERETT 13U5)I1ESS[-1G.#(REQUIRED): l�S�$Z <br /> pRIM.ARY CONTACT: OWNER ❑ CONTRACTOR Ef OTHER(Please Specify) <br /> CONTACT NAME, � CONTACT PHONE: 6 10� <br /> 1�'cJa CONTACT,EMAIL: <br /> AGREEMENT.•T hereby certify that l have read and examined this application and know the same to be tare and correct. All pmvisfonc of laws and ordinances gov&m1nV this <br /> type of vrork wi11 be completed whefher gpecNed herek ornot The granting of a permli does not presume to give authonTy to Violate or cancel the provlsions of any atheYstate or <br /> locallaw regulating construction orthe performance of construction- That lam authorized by the owner of this proper to perform the work 9br whtch application is made and 1 <br /> comply WIth th®State Contractors Law 98,27 RCW and,2M 200 WAC. <br /> City of Everett Official Use 4n/y <br /> FEE <br /> PERMIT# I <br /> r <br /> E <br /> Owner - od A M Slgnsture Date (Revised 90/92/2095) <br />