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law ECTRICAL PERMIT AOUGA T ION <br /> L CITY OF EVERETT PERMIT SERV[CES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 J (E) everetteps@everettwa.gcv J www.everetbNa.gov/permits <br /> PROJECT ADDRESS: <br /> BUILDING AREA(if reslden4ial, new construction,remodel, or addition) <br /> P,UILDING TYPE: 0 SFR-DEfACHF-D 0 SFR-ATTACHED ❑ Dupf X ❑MULTI-FAMILY-#OF UN1TS: COMMERCIAL <br /> LJSE OF ssiJIL )ING: <br /> . �C,Et�'9"II�IGA� A�'I<?�9�A ITI®i�I 91i�IFDIi➢1PN�1,If'�®A➢ . <br /> CONTRACT PRICE OF WORK,$ 3 rod <br /> NUMBER OF DEVICE"5 (if low voltage : <br /> FIRE ALARM? II YES XN0 <br /> ASSOG[ATED BUILDING PERMIT 4(if applicable): <br /> DESCRIPTION OF WORK: t ml L. d a v nv— <br /> o)J ITS <br /> -r�o CrJ a e fit_ U+� i <br /> OWNER NAME. T1=MANT NAME;(if Commercial): <br /> OWNER MAILING ADDRES5: 0,0 <br /> My STAic <br /> OWNER PHONE: ��}�' �'��Z' �bO OWNI=R EMAIL: <br /> CONTRACTOR NAME: P �4a� 1L <br /> CONTRACTOR AD0RESS: sYRr E1 Rb 8.&,v 0j <br /> CI iY A.!. lY�r �� STATE d P <br /> CONTRACTOR PH0NF: '4L'& 5 d CONTRACTOR EMAIL 1�C� <br /> CONTRACTOR L.IC_#a�QUIFZED).- -Oi> �� CITY OF EVERE77 l3LlSINESS LIC.#(REQUIRED)�S �.Z� <br /> PRIMARY CONTACT: © OWNER ONTRACTOR II OTHER(Please Specily) -- <br /> CONTACT NAME: CONTACT PHONE: �;-,L.4 �� =S1 <br /> CONTACT EMAIG.�,�r-'tn 14 ft c�G <br /> ASREEMENT•7 herehYCerflfy that/have read and examined this appticatlon and know the same to be true and correct. All pr visions ortaws and ordinances 3ovom/ng this <br /> type 0f work wll!be completed whether gpecffjed hersin or not, Tha granting of a peimit does not p*'Sums to gfve authoriY fo violate or cancel the provisions o"any other state or <br /> JocaJ lav regulating constn etlon or the performance of canstruofion- That tam authorizsd by the owner of this property to peform the work for wh/ch application is made and 1 <br /> comply v✓!th the Stefa Contrdptors Law 13,2 RCW and 298.240 WfiC, <br /> Ctty aFE�vsreif Official Use Only <br /> FEE <br /> PERMIT 4 <br /> Owner zed Agenf igr,aeure date (Revised 10/12/2815) <br />