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05/31/2016 TUE 13! 03 FAX 425 252 1666 CM Heating U002/003 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OOL 3200 CEDAR STREET, EVERETT, VVA 96201 <br /> (P) 425-257-8810 FAX 425-257-8857 (E) everetteps@evorettwa.gov vwvw.everettwa.gov/permits <br /> PROJECT ADDRESS; <br /> BUILDING AREA(If realdentlal, now construction, remodel,or addItion) SF <br /> BUILDING TYPE: El SFR-DETACHED 19 SFR-ATTACHE[) 11DUPLEX MULTI-FAMILY-NOF UNITS: 11 COMMERCIAL <br /> USE OF BUILDING: <br /> A 14 <br /> BIN RNMl <br /> CONTRACT PRICE OF WORK: $ <br /> NUMBER OF DEVICES If low voltage): <br /> FIRE ALARM? 0 YE$ 0 NO <br /> ASSOCIATED BUILDING PERMIT-#14lf applIcable): <br /> DESCRIPTION OF WORK: <br /> J� <br /> 7 7 <br /> 0.41 07"O' <br /> OWNER NAME: T(in4.AQ TENANT NAME If Commorclal : <br /> OWNER MAILING ADDRESS, $TRrrT a_aea vek-)') <br /> Crry LU �ejSTATE !,Ala LIp <br /> OWNER PHONE; 25 5 Fa C) IOWNER EMAIL: <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRF;83, BTREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE G,5iC� !CONTRACTOR <br /> CONTRACTOR LIC.#(REQU1RQ1 CITY OF EVERETT BUSINESS LIC,#(REQUIRED): <br /> PRIMARY CONTACT: CIOWNER /&CONTRACTOR El OTHER(Please SpecIfy) <br /> CONTACT NAME: CONTACT PHONE: <br /> ICONTACT 1EMAIL: <br /> AGREEME=NT.-7 hambY curfify(hut I have read and :9minad thisapp(loaflon end know the soma to ba IM0 and correct, Alf provfstons of laws and ordnces governing this <br /> (ype of work will be completed whathorapeciffed herein or not. The 9MA(Ing of a permit does not presume to give authority to violate or vancal the provi0ion'y of any other state or <br /> local few(69ulalloV construction or the performanog o1constructlon, That I am authorized by the owner of thls properly to perform the work for which ApplicaYan It mBda and I <br /> Comply With the State Contractors Law 18.27 RCW and 296-20o WAC. <br /> City of Everett Officlal Use Only <br /> FEE <br /> 00 <br /> PERMIT 0 <br /> S 31 LP E I(,,, ? <br /> e L5 — i T� <br /> owner/Authorlxud Agent SIgnature Date (Rev/sed 1011212015) <br />