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Jun, 20. 2016 11 : 25AM EVERGREEN STATE HEAT & AC No, 7304 P. 1 <br /> ELECTRICAL. PERMIT APPLICATION <br /> 41t7r CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-2578810 FAX 425-257-8857 1 (E)everettepsCove:rettwa.gov I www,overettwa.gov/permits <br /> 77 77 <br /> '" PRQJIE�T SITIE; iIyFO1R1�I1,E►'rlf0 : <br /> PROJECT ADDRESS; —7L�Q — r Wl rLI <br /> BUILDING AREA(If residential,new construction,remodel,or addition) 3F <br /> BUILDING TYPE; FR-DETACHFD ❑SFR-ATTACHED L7 DUPLEX IJ MULTI-rAMILY-#OF UNITS: ❑COMMERCIAL <br /> Eu9t!OF BUILDING: <br /> ``}` 4kTi >1giAL APPL;1(fATION.jNQiRIvIA'�'�0 <br /> CONTRACT PRICE OF WORK:$ <br /> NUMBER OF DEVICES if IoW Volta o ; <br /> FIRE ALARM? ❑YES 11 NO <br /> ASSOCIATED BUILDING PERMIT f# if a lIcable : <br /> DESCRIPTION OF WORK: <br /> .Lz <br /> - G�NTAG`1'` INFOk�tUlAtlfDiN <br /> OWNER NAME- TENANT NAME if Commerclal): <br /> OWNER MAILING ADDRESS: srrt r -7 <br /> MY STAYF. <br /> OWNER PHONE; OWNER FMAIL; <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRE=SS: BYRE" AZO /fCL 6 <br /> CnY STATE V"'rL 2-W <br /> CONTRACTOR PHONE( — l LF CONTRACTOR EMAIL; � <br /> CONTRACTOR LIC. EQOIRED):4 f CITY OF EVERETT BUSINESS LIC.#REQUIRED: SSS" <br /> PRIMARY CONTACT: CI OWNER CONTRACTOR IA OTHER(Please Specify) <br /> CONTACT NAME,, CONTACT PHONE, ( �Z613� —072.Z— <br /> CONTACT EMAIL: e"-L <br /> AGREEM�NI:Thombyce&t y Thal thaw read and examinad fhfs epplhaUon and know 1ho same to be two and correct AApmvlslons of taws end ordinances govern/ng thfa <br /> type of work iW bs oomAb1&d wheMerapec fled heroin or not, The grnnitng ofe permit doesnof presume io give aulhorfly to vk4s1a orcencerthe p oviai"ofany outer slate or <br /> locsllaw regulating construction orfhe perfwmanoe of aonswolkn, MOI em aulho&od by the owner of this propertyfo perfvum the workfor whkh appflcallon remade and i <br /> vompty"h the Stalo Conttactors LBW fO.P PCW and 298.200 WAC. <br /> a ofr=verolr orxaal use only <br /> rEE <br /> DD I <br /> 1 <br /> PERMIT# <br /> Omar thorizmdAgentSfynature Dale (l?evf8ed9[VjZQ0f5) <br />