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4FLECTRICAL PERMIT 4PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> . .... 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 (E) everefteps@everettwa.gov www.everettwa.gov1permits <br /> IE'l <br /> PROJECT ADDRESS: Ito <br /> BUILDING AREA(if residential,new construction,remode,or addition) SF <br /> BUILDING TYPE: EISFR-DETACHED [ISFR-ATTACHED 0DUPLEX [I MULTI-FAMILY-#OF UNITS:- COMMERCIAL <br /> USE OF BUILDING: <br /> s. PIPILIN <br /> 21' "`18LEGTTA <br /> CONTRACT PRICE OF WORK:$ Z Ova <br /> NUMBER OF DEVICES (if low voltage). <br /> FIRE ALARM? 11 YES O <br /> ASSOCIATED BUILDING PERMIT#Cif applicable): <br /> DESCRIPTION-OF WORK: be'm 0 42t t- <br /> 10 <br /> t W�EP,NAM TENANT NAME(if Commercial): C JIt c- de, <br /> OWNER MAILING ADDRESS: sTREEr <br /> crry STATE ZP <br /> OWNER PHONE: OWNER EMAIL; <br /> CONTRACTOR NAME: ,. <br /> AME <br /> P, <br /> CONTRACTOR ADDRESS: STREET <br /> crry STATE 77JP <br /> i-4 1A 71P <br /> .0 CONTRACTOR EMAIL: <br /> CONTRACTOR PHONE- kh-5 70 <br /> CONTRACTOR LIC.#(REQUIRED): := CITYOF EVERETT BUSINESS LIG.#(REQUIRED):07,77�9 <br /> PRIMARY CONTACT: C1 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: q25- 7&,0 cl ? <br /> ar s <br /> ,,f CONTACT /"q/)VI)I l <br /> AGREEMENT-Thereby certify that/have read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances 90veming this <br /> type of work will be completed whether specNed herein ornDl. The granting of permit does not presume to give authoiffy to violate or cancellhe provisions of any other state or <br /> local law regulating construction orthe performance of construction. That I am authorized by the owner ofthis property to perform the work ibrwhich application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City ofEvereff Official Use Only <br /> F 17 F <br /> ��2.�-� <br /> PERMIT#(Revised 1011212015 <br /> .A.,,. orj.Gnt Ygnature <br />