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09/13/2016 TUB 7: 3 7 FAX 425 252 1666 CM Heating 1003/004 <br /> ELECTRICAL PERMIT AP*ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> OOL 3200 CEDAR STREET, EVERETT. WA 98201 <br /> (P)425-257-8810 FAx 425-257-8857 (E) ever9ttE0PS@eV5FettWa.g0V www.everettwa.gov/permits <br /> 7:- <br /> PROJECT ADDRESS; <br /> BUILDING AREA If residontial, new construction, remodel, or additlarl) SF <br /> 1BUILDING TYPE: C1 SFR-DETACHED SFR-ATTACHED 00UPLEX 0 MULTI-FAMILY-#01'UNITS: 13 COMMERCIAL <br /> IUSE OF BUILDING,. <br /> WIN <br /> CONTRACT PRICE OF WORK: $ <br /> NUMBER OF DEVICES If low voltage): <br /> FIRE ALARM? EJ YES ONO <br /> ASSOCIATED BUILDING PERMIT# If applIcablia): <br /> DESCRIPTION OF WORK: (xdrl /CtjA9;jL?= C'(P=r-L'ut <br /> P 10 <br /> 4. <br /> �u <br /> OWNER NAME: TENANT NAME If Commarclal), <br /> OWNER MAILING ADDRESS; STREET <br /> CITY 3 TATE \/u.6ZIP <br /> - <br /> OWNER PHONE; 1OWNER EMAIL: <br /> CONTRACTOR NAME! <br /> CONTRACTOR ADDRESS: STREET <br /> r i-ry (OA <br /> STATE ZIP C <br /> CONTRACTOR PHONE;LkP� LCONT RACTO,Ft EMAIL: <br /> OF EV0 <br /> CITY EVERETT BUSINESS LIC,X REQUJRED�: <br /> CONTRACTOR LIC,#�RIZQUIRED): CCC <br /> PRIMARY CONTACT: 0 OWNER /M/CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE, <br /> IC&2 <br /> CONTACT EMAIL; <br /> AGRrEMENT,Thereby cerlity that/have read and examined this application and know the same lobe true and correct. All provmlons of laws and ord races govornIng this <br /> IYPO cfwo(H will 69 completed whothefspocTud heroin or not. The grnntlng of permit does not presume to 91v4i authorlty to violate or asncsl the provisions of any other state or <br /> local law ragOating construction or the paiformance of construcilort, 7'hg1l 1 am authorized by the owner of this property to perform the work for which application Is mode and I <br /> cOrrPlY with the State Contractors Low 16.77 POW and 206.200 WAC <br /> City o(Everett V11clat Use only <br /> FEE <br /> 9JS _�� <br /> PERMIT 4 <br /> I( to E- � Vo —O-G <br /> Owner/Aulhorlzacf Agent Signature Data I (Ai;V]SAd 1011,212016) <br />