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OE <br /> LECCTRIICCAL PERMIT AWLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> lit'®tAittX11t:Iliad F"; ivrowc:-,F_. ::.'.-:...1:-::•,----:,..-..-:---- <br /> - : - •. <br /> PROJECT ADDRESS: 1O5W'P L o kk- 0 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) (gt) SF <br /> t <br /> BUILDING TYPE: El SFR-DETACHED El SFR-ATTACHED El DUPLEX 0 MULTI-FAMILY-#OF UNITS: 'r.` OMMERCIAL <br /> USE OF BUILDING: (&,,CA--- VCj� • <br /> ; -: :.: 'C PEGT.)s1.114AL4 AfhPILlleA51'l101NI Q��Oo r?ktg 4,TQcm =,.. - -;:.: -.: :.;. : ' -.:':- :. <br /> 441 CONTRACT PRICE OF WORK:$ k_ii�C <br /> NUMBER OF DEVICES(if low voltage):• <br /> FIRE ALARM? El YES )NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: C-VQO'NK CS ' � V .^. lZ\H Y CQckCt. Vtel j <br /> i ._ . <br /> OWNER NAME. 1�\ke,„_...-- TENANT NAME Of Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> CRY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL:,,.a <br /> .. <br /> 'CONTRACTOR NAME: j •S ''^i-cL/� <br /> CONTRACTOR ADDRESS: sewrt 6 �` 'PL5 S--.0 <br /> \ <br /> cm \_\, v STATE ZIP C��( � - V„ <br /> CONTRACTOR PHONE:t4Z' 20— / (}cZ CONTRACTOR EMAIL:IA1 V\`AVAc3-•@. 5)MaR`i k°Cr`?-0-\. <br /> ,. CONTRACTOR LIC.#(REQUIRED) CITY OF EVERETT BUSINESS LIC.#(REQUIRED) r_�N _ -_ <br /> PRIMIARY CONTACT: ID OWNER eQNTRACTOR tl� `El OTHER(Please Specify) <br /> CONTACT AME: CONTACT PHONE: 14•7.- ) Z_1O /y��t <br /> - (_� , CONTACT EMAIL: 1 CL0 , t, \ C& i �1,C O V'1 <br /> AGREEMENT:Thereby certify that I have read and examined this application and know the same to be true and correct All provisions of laws and ounces 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 constriction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.206 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 4 Kl ,s---- <br /> ,I <br /> PERMIT# <br /> ..--- ....J.-,..„ ( ?k te (Revised 10/12/2010) <br />