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09/14/2016 15 : 06 t0914 P. 002/002 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8'P10 FAX 425-267-8857 (F) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> N' r 4' <br /> PROJECT ADDRESS., 3-1-32- TM 4yie <br /> BUILDING AREA(if res-identik new construction, remodel, or addition) ,SF <br /> IBUILDING TYPE: 11 SFR-b��TACHED 13 SFR-ATTACHED 11 DUPLEX 0 MULTI-FAMILY-#OF UNITS:_ COMME=RCIAL <br /> IUSE OF BUILDING: 1/4, 0091 CA-" 11 7-k <br /> CONTRACT PRICE OF WORK: <br /> NUMBER OF DEVICES (if.low voltage). <br /> FIRE ALARM? C YES 0 NO <br /> ASSOCIATED BUILDING�::PERMIT#(if applfcable -- <br /> DESCRIPTION OF WORK, <br /> j 14U Aj #U <br /> 7e,k L F <br /> T <br /> OWNER NAME: Q ?LJT— 4QtqA(4b!VA TENANT NAME If Commercial): <br /> qr7 A <br /> OWNER MAILING AQDRFS�' MFMT -PA <br /> :l C-y STATE ZIP W240/ <br /> OWNER PHONE: ] EMAIL: <br /> CONTRACTOR <br /> [OWNER FMAI <br /> CONTRACTORNAME: sa <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE L4'1 4� ZIP <br /> CONTRACTOR PHONE.- )Xf 12jkl 1CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIR"ED):E"AJ,?.f1 CITY OF EVERETT BUSINESS LIC.#(REQUREO);DIG f� <br /> PRIMARY CONTACT: M O"WNFR e'CONTRACTOR ZOTHER(Please Specify) <br /> CONTACT NAME: <br /> CONTACT PHONE: <br /> Z)A- . 66ake: CONTACT EMAIL: <br /> AGREEMENT Thereby car*thqn nave read and examined this application and know the came to be fta and Coileact All provisions of laws and ordinances governing this <br /> type Of work will be completed whether qpecffiecf herein or not, ne granting of a permit does not presume to give autnority to violate or cancel the provisions of any other state or <br /> local law regulating Construction or:the performance of construction. That I am authorized by the owner of this properly to perform the work for which application I.-made and I <br /> CQMPIY With the State Contractors 6w 18.27 RCW and 206.200 WAr- <br /> - <br /> City of'5vd1det Official use only <br /> FEE <br /> !j; <br /> PERMIT# <br /> ( - LL <br /> EEL7 <br /> 71 <br /> Owner) 6-r-Iz--q--f genMgnafikaIF <br /> 7 Aate (Revised 1011212015) <br />