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IFLECTRICAL PERMIT C- PLICATION <br /> CITY OF EVERETT PERMIVICES <br /> 3200 CEDAR STREET, EVERETT,INA 98201 <br /> (P)425-257-8810 j FAX 425-•257-8857 j (E) everefteps@everettwa.gov j wmeverettwa.gov/permits <br /> �g tt®7op� <br /> 8F� <br /> PROJECT ADDRESS: 7 g,: <br /> BUILDING AREA(if residenfial,new construction,remodel,or addition) a" a� SF <br /> BUILDING TYPE: SFR DETACHED D SFR-ATTACHED D DUPLEX D MULTI-FAMILY-1tOF UNITS: D COMMERCIAL <br /> USE OF BUILDING: <br /> •.;.cam.....w••::,:..::.r� :.. .. �y7�q <br /> �## <br /> CONTRACT PRICE OF lt1(OE E97- <br /> Fj � <br /> RK: <br /> NUMBER OF DEVICES (if low voltage). <br /> FIRE ALARM? D YES 91 NO <br /> ASSOCIATED BUILDING PERMIT#Cif applicable): <br /> DESCRIPTION OF WORK: �'C''li9 <br /> .;.-.: : . •. :.. , . .'=;: : -. - CO"T:AC'I'­4IF�0!'tIViAT`►©Id <br /> ER Q'(,( K 1 e- TENANT NAME(If Commercial): <br /> QNNNAME:-- ' <br /> OWNER MAILING ADDRESS: SMEEr RZl <br /> I^ crry > STATE 'J ZIP <br /> OWNER PHONE: 4 2 II Z 6 7 SS t D OWNER EMAIL: <br /> CONTRACTOR NAME; .-- y' /y./, e <br /> CONTRACTOR ADDRESS: <br /> f sTFtEff y� 12-1114 <br /> 11 <br /> CITY /r/f STATE O / ZIP <br /> CONTRACTOR PHONE: 2 j^ I CONTRACTOR EMAIL: _ <br /> � 2 p � <br /> CONTRACTOR LIC.#(REQUIRED), 0 P1 a_/_� % 06 � / CITY OF EVERETT BUSINESS LIC.##(REQUIRED). <br /> ETAG <br /> TACT. D OWNER D CONTRACTOR D OTHER(Please Specify) <br /> S: CONTACT PHONE; L/Z j S3 , --.J CONTACT EMAIL: <br /> AGRF_EMENT.'T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governing this <br /> type of work will be completed whetherspecified herein ornot. The granting of a permit does notpresume to give authority to violate or cancel fhe provisions of any otherstate or <br /> local faw regulating construction orthe performance of construction. That 1 am authorized bythe Dwner of this properfyto perform the work for which appkcation is made and 1 <br /> comply with the State Contractors taw 18.27RCWand296200WAC. <br /> City ofEveretf Official Use Only <br /> FEE <br /> / PERMIT# <br /> OvmerfAutliorized Agent Signature bate (Revised l0/12/2015) <br />