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WLECTRICAL PERMITLICATI®N <br /> CITY OF EVERETT PERMIT S RVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 ( FAX 425-257-8857 ] (E) everetteps@everettwa.gov) www.everettwa.gov/permits <br /> .. .. •,. q .1� ::��.:..�'I114SIF.�'1���®��11®�-.'.,.:.:.''.;'.;: .:. <br /> PROJECT ADDRESS: OF �kan Irl e <br /> BUILDING AREA(if residential,new construction,remodel,or addition) 2. SF <br /> BUILDING TYPE: L7 SFR-DETACHED SFR ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑ COMMERCIAL <br /> USE OF BUILDING: <br /> �9 A 0 �j 7( llf9�F4U - <br /> CONTRACT PRICE OF WORK:$ ZCC) Q <br /> NUMBER OF DEVICES (if low voltage). <br /> FIRE ALARM? ❑YES O <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: ��C�Y'C <br /> co <br /> FnwmOWNER s•NAME:: Qct cb HQ' TENANT NAME(If Commerci <br /> ER MAILING ADDRESS: STREET �-C��jg '— <br /> Crrr STATE a zP g f <br /> OWNER PHONE: Z�C� 2 5© --gC�p$ OWNER EMAIL: �Ck 0��- ►0 mQ S <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED)• CITY OF:EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: OWNER ❑CONTRACTOR EI OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> �Q M CONTACT EMAIL: o <br /> AGREEMENT.'T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction orthe performance of construction. That I am authorized by the owner of this property to perform the work far which application is made and I <br /> comply with the state Contractors Law 18.27 RCW and 296.200 WAC <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> Ovvner/Authorized Agent Signature Date (Revised 90/12/2095) <br />