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May. 12. 2016 2 : 24PM No. 7783 P. 1 <br /> -ECTRICAL PERMIT A�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8867 1 (E) everefteps@everettwa.gov www.everettwa-govlperm its <br /> M. 4" <br /> EL <br /> PROJECT ADDRESS:'n il <br /> BUILDING AREA(if residential,new construction, remodel,or addition) 8F <br /> BUILDING TYPE: IJ SFR-DETACHED [ISFR-ATTACHED LIDUPLEX El MULTI-FAMILY-#OF UNITS: O(COMMERCIAL <br /> USE OF BUILDING. �A),1n,\\m <br /> rl <br /> .......... <br /> X�2�11 <br /> Ott tj <br /> E <br /> �00 <br /> CONTRACT PRICE OF WORK: )000 <br /> NUMBER OF DEVICES if low voltage): W/A <br /> FIRE ALARM? LJ YES NO <br /> ASSOCIATED BUILDING PERMIT# if appliczible)-, ZA <br /> DESCRIPTION OF WORK: <br /> a <br /> A eorYi g <br /> -T V <br /> "N <br /> OWNER NAME- NW�yt"� TENANT NAME(if Commercial):VIM &�fy f t� <br /> OWNER MAILING ADDRESS- S-MEE71. �20 �A,.46)vc �Xw <br /> CITY -Z cw)a S-fATE ZIP <br /> OWNER PHONE; MAIL; <br /> i Q N- <br /> CONTRACTORNAME; <br /> el <br /> CONTRACTOR ADDRESS: STREET (D <br /> cfry zip <br /> CONTRACTOR PHONE: 1CONTRACTOR EMAIL- <br /> CONTRACTOR LIC.#(REQLJIRF-D): CITY OF EVERETT IBUS]' EQUIPEO): <br /> .1-1-1 I'll �— , a NESS LIC.#(R <br /> PRIMARY CONTACT: El OWNER CONTRACTOR 13 OTHER(Please Specify) <br /> CONTACT NAME. CONTACT PHONE; <br /> - <br /> ICONTACT EMAIL; Com <br /> AGREEMENT.,T hereby cerfiry that/have read and examined this applicqtJon and know the Same to dq)irue anAborract. All provisiorts of laws anci Ordinances governing this <br /> type of work will be completed whether specified heroin or not. The granting of a permit does not presume to give authority to violate or cancel the provisions Of any other state or <br /> local law regulating construction or the performance of construction, That I am authonzsd by the owner of thispropertyto perform the work for which application is made and I <br /> comply with the=to Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use only <br /> FEE <br /> PERMIT <br /> oriffed gL <br /> Agent nature <br /> (t� (Revised 10/1212616) <br />