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��..��i����✓�� �`����� �:�����/�1���� <br /> C1TY U� �'�t�RETT PERMlT �EF�`�JI�ES : <br /> 32fl0 CEC7I�R STREET, EVERETT,WA 982(?1 <br /> (P)425-25'�-881C7 � FAX 42a-2�7-8857 f fEa everetteps@everetkwa.gov� www,evere#twa.gov/pe�`mits <br /> PRCi��GT $�TI� 1M��R�A"�ME?�+1 <br /> �#o,i�cT�a �5. �738=P�tae�#,�E�r�Vaf;�����(33 <br /> BUiLDiN��iR�A(t€resident't�d,new construction,�remod�l,or additi�snj � �F <br /> BUILt�iNG 7YPE: 18�SFR-DETACHED C1 SFF2-A7TRGHED C]al1PL�X �'MULTI-FAMILY-#OF UM1tlTS: CI COMMERCIAL <br /> USE G9F BUILDING: <br /> ELECTRICA�, APP�.ICA7[t.1N MNI�QRMATION <br /> �t3ht`�°RAG�'t�1Rh��fYF�Ri�.��'�.(}fl <br /> NUMBER bF DEVIGES if law vc�ita e : � <br /> FIRE ALAF2M? Cl YE3 NQ <br /> A.SSQCl1#TED SUILDING PERMIT#� if a�� licable ; <br /> QESCRIATION QF WGRK: instail circuits for heat purnp <br /> +�C��I'�`AC"r' 1��'+C?RNl1�`�`1t�M <br /> OWNER NAME: K�rissa& Neil Smith � TENANT NAlVIE{If Commercial}: � <br /> C?�IhtER MAtLIhlG ADDRESS: 3rre�r 17�8 Fine St <br /> �verett �_m; WA srA�� 982Q1 zt� <br /> OWNER f'HONE: 253-797-6755 QWNER EMAIL, <br /> CONTRA�TOR NAME: Amped Electric&Mechanica) <br /> CpNTRACTQR AppRESS: srREsr P(3 E34X 86$ <br /> .. �::,r,' �^dE.'�8� � S"r�:TE '�,Q Z::P ��'i.�i'�l.� <br /> cqtv�rt�a��rot��tipra�:20�6-7�4-11�8 co�v�rr�a��c����t�aoL: irrf�c��mpedeiec�ricilc.e.crrrz <br /> CC?NTf�ACTC7R Li�,#(REQUIREp�. AMP�DEM9q7C}�i CI'f'Y t'�F EVEf2ET7 BU$INESS LkG.#(REQUIftED): 048712 <br /> PRIMARY CC>N7ACT: �t�WN�R ❑CON7RACTOR CI C)THER;,�Piease Specifyj <br /> CEJNTAGT NAME. CQNTItCT PHtiNE: 253-791-�755 <br /> Ka�is�� & �1�i1 Sntith CQNTA�T�MAlL: <br /> AG+R�ER?EA�T. 7��e:�by<certi�y�tha:!t�ave�ao'arrd exa"�"rrned thi��p�treatiori and knov�.i77e s�,me�tc bs tru��nd cprTesf: Al��rovrsrorrs eJfi�w�s arrd arclinanc�s govemrr��thr�� � <br /> ry�e ar'swcrk w=rt;a�'co,�r�fefe�'w�heihers�ecur8d;tererr,�t�rzn€: Th8 9r3;ifir�e�o;a A�rrrri��oe5 not p�re,surn�io gira�tti.ht�rrty Yo vioi2fe or�ancef ti�e prn�dsfans Uf ar,y ct;re,t sfaf�or' � <br /> looai laov�reg�lating�oon,seruction or the perforrr�ane�oP c�nstruoti��, That f at�aufhoriz�cJ by fhe pwner pf thls prop�rty to petform tt�e wark far whfet�appticatton is mad�ar�tt�! <br /> compry with€ha SCate Contraetors Laia�Y8.2T�RCtN and�296.Et7!?WpC. � � � �� <br /> CrtycrfEverett Gfficiat USe�lr,dy ' <br /> �� <br /> FEE <br /> _. <br /> .�..� <br /> � � � PERP1IiT i� <br /> � �"� - E 16D� - �g � <br /> Owne fAuthorl A nt Slgnature D te � (Revised 10/i2t2Q15) <br />