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aFELECTRICAL PERMIT PLIGATM <br /> CITY OF EVERETT FERMI 11SRVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 (E) everefteps@everettwa.gov 1 www.everettwagov1permits <br /> D <br /> MEW <br /> '7TIMA.., <br /> PROJECT ADDRESS: t4 V If.) F lVd f2-0_T <br /> BUILDING AREA(if residential,new construction,remodel,or addition) TeVo SF <br /> BUILDING TYPE-)4 SFR-DETACHED FISFR ATTACHED LI DUPLEX [I MULTI-FAMILY-4 OF UNITS- El COMMERCIAL <br /> USE OF BUILDING- <br /> TRACT PRICE OF WORK.$ <br /> NUMBERCONTRACT <br /> 0ENTE <br /> OF DEVICES (if low voltage),. <br /> FIRE ALARM? 0 YES "0 <br /> ASSOCIATED BUILDING PERMIT 4(if applicable): <br /> DESCRIPTION-OF WORK: 'ex'YAV, J"4 '!d6. ri a/�L '14) Wr <br /> _r614 <br /> - - -- 7 <br /> FOWNER NAM 72v' -e_' - At je, 1Z-e TENANT NAME(if Commercial): <br /> nWWNER MAILING ADDRESS: STREET M <br /> cny ­ STALE ZIP <br /> OWNER PHONE: —[OWNER.EMAIL. <br /> CONTRACTOR NAME: 90 El-e 6Aii/j. <br /> F <br /> CONTRACTOR ADDRESS., STRMT <br /> STATE z I P <br /> MY � Vdd _ ;� <br /> -206 <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: op <br /> CITY OF EVERETT BUSINESS LIG.#(REQUIRED);L9'-1 7�, <br /> !�ff :� Z_ <br /> CONTRACTOR LIC.#(REQUIRED).- _b <br /> PRIMARY CONTACT; El OWNER Q,16C–)NTRACTOR 11 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: V/. <br /> IfIv CONTACT EMAIL: <br /> AGREEMENT'T hereby certify the I have read and examined this application and know the same to be true 4nd correct All previsions of laws and ordinances 90VOMM9 this <br /> type of work will be completed whetherspeciffedhernin ornot. The granting of permit does not presume to give authority to violate orcancel the provisions of any otherstate or <br /> locallawregujagngconstruction orthapaiformanceofconstruction. That I am authorized by the owner ofthis propertyto perform the work tor-which application is made and I <br /> comply with the Slate Contractors Law 18.27RCWand 296.200 WAG. city ofEverelt official Use Only <br /> FEE <br /> o6 <br /> PERMIT#� � <br /> - OS-7 <br /> E W� <br /> z-w <br /> dwner/Autfiorlzad Agent Sig <br /> (Revised 1011212015) <br /> I <br />