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SEC ECTRICAL PERMIT AFI LICATION <br /> CITY OF EVERb7 PERMIT SERVICES <br /> :000 CEDAR STREET, EVERETT,WA 98204 <br /> (p)425-257-8810 FAX 425-257-8857 (E)everetteps@everettwa-gov j www.everettima.gov1permits <br /> PROJECT ADDRESS: 511 7 c;ot GC's <br /> BUILDING AREA Cif_residential,new construction,remodel,or addition) <br /> BUILDING TYPE. El SFR-DETACHED El SFR ATTACHED El DUPLEX ri MULTI-FAMILY-#OF UNITS.,--- gCOMMERCIAL <br /> USE OF BUILDING: <br /> amp <br /> CONTRACT PWGE OF WORK:$ <br /> NUMBER OF DEVICES (if low voltage); <br /> FIRE ALARM? 0 YES MNO, <br /> — <br /> ASSOCIATED BUILDING PERMIT#Cif.appficable):. /(,,PO(v -------- <br /> DESCRIPTION OF WORK: <br /> -A, <br /> Av A <br /> i TENANT NAME(if Commercial);; <br /> P <br /> OWNER MAKING ADDRESS: MPZEF <br /> -% c nmy STATE V4 �1 Zip <br /> (51 <br /> OATIER,PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: <br /> -qS: ' STREET 7-0 C— <br /> CONTRACTOR ADDRE <br /> crry jr 15&M <br /> !R I <br /> 'g '—eZ) --(,t CONTRACTOR NMAIL: &)VCV-17 <br /> CONTRACTOR PHONE: I <br /> CONTRACTOR LIG�. RE00REP: 'e-s—q 3-L ICITY"OFEVERETT BUSINESS LIC.#(REQUIFZED):__.____ <br /> PRIMARY CONTACT: L7 OWNER R(CONTRACTOR 00TI-0R(Please Specify} <br /> _ <br /> CONTACT ME: CONTACT HO <br /> GONTAGT EMAIL: <br /> rL0 <br /> hTh by certify That fhave read and examined this application and kww the same to be true and correct All provislonsoflaW.Tand ordinances rjoveming1his <br /> Thagrant(ngost <br /> urnato aim auffiarifyto vialwearcancelffieptovIsiona of a,-k'/06,6,r at"r <br /> lypeofworAwillb�--compl6tedwheitiersPecifie-4hereiqornot. fapenAVQWndpnnW - <br /> That am authorized ownerof this propellytoparfalm the workforwhichapplicatI017 is l"Jade and] <br /> local law regumang construction orthe performance of construction. <br /> comply with the state Con&-acfbi-s Law 1&27ROWand 206 200 WAC. City of Everett Oficial Use Only <br /> FEE <br /> PERM T4# <br /> -0-A? E <br /> ouvner Iiorized Agent Sf9natt're F.)ate <br /> ............................... <br />