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ELECTRICAL PERMIT &—,%d )PLjFAT1 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 88201 <br /> (P)425-257-8810 ( FAX 425-257-8857 j (E)everetteps@everettwa.gov J www.everettwa.gov/permits <br /> . . '.•�lf� .11 '17'I � �ds�R�tIItATtOIN <br /> PROJECT ADDRESS: j i It t I Arn t C+Ld f <br /> BUILDING AREA(if residential, new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED ❑SFR ATTACHED E7 DUPLEX I]MULTI-FAMILY-#OF UNITS; COMMERCIAL <br /> USE OF BUILDING: <br /> ll'r)ZI `II`dM+ IkIPPLICAtf�11� <br /> CONTRACT PRICE OF WORK:$ I(% <br /> NUMBER OF DE4/ICES (if low voltage): <br /> FIRE ALARM? 0 YES <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DEISCRIPTION OF WORK: CY r-eplL <br /> COI `iA�ippRIVI,ATtON <br /> ffOWNILER <br /> NAME:. t y' TENANT NAME(if Commercial <br /> MAILING ADDRE S: MEET l t <br /> CrrY V i STATE Rl1 ZIP '✓ , <br /> OWNER PHONE: �' ° < 7--7. �,, 3 OWNER EMAIL: <br /> A s <br /> CONTRACTOR NAME: <br /> CONk'RACTORADDRESS: iG <br /> erry L�Jc STL,:-v{i STATE ZIP 7- <br /> CONTRACTOR PHONE: yp' <br /> CONTRACTOR EMAIL: h ".' � ; <br /> CONTRACTOR LIC.#(REQUIRED). CITY OF EVERETT BUSINESS LtC, REQUIRED:C '7 <br /> ft <br /> PRIMARY CONTACT: ®OWNER P CONTRACTOR ❑OTHER(Please Specify) )oy <br /> CONTACT NAME: CONTACT PHONE: L NJ• <br /> CONTACT EMAIL: <br /> AGREEMENT'Thereby certify that I have read and examined this application and know the same to be true and correct All pnovlslons of taws and ordinances governing this <br /> type of work wlll be completed whether specified herein ornot The granting of a permit does not presume to give authority to violate or oancel the provisions of any other state or <br /> local law regulating construcUbn or the performance of construction. That I am authorized by the owner ofthis property to perform the work for which application is made and I <br /> comply with the State Gontraotora Law 98.27 RCW and 288.200 WAC. <br /> City of Everett OfPlciai Use Only <br /> FEE -- <br /> PERMIT# <br /> Owrnerl,4u>Iiarized Agent Signature Date (Revised 10/12/2015) <br />