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�� nnp <br /> < •ELECTRIICAL PERMIIT LIItt <br /> CQTII®N <br /> r- <br /> CITY OF EVERETT PERMIT SERVICES <br /> n.,,,AVL <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps©everettwa.gov I www.everettwa.gov/permits <br /> . . . . ... .. - :.. `rgO4gCT..P((`ug.l(fiAF�e t"i2.�749.1��':=:=: . , ... _ - <br /> ;PROJECT ADDRESS: 1 'S C_c \'"'7 <br /> BUILDING AREA(if residential,new construction,remodel, or addition) O SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX I=1 MULTI-FAMILY-#OF UNITS: OMMERCIAL <br /> �USE OF BUILDING: A `-e • . . <br /> .. • .: .. ,` • •CLI GTRICAL PP IIC A IIMI II H I ORINIA.TIIONI • •- . 7 : •. <br /> ,,CONTRACT PRICE OF WORK:$ t <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES )(NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> i4I=IDESCRIPTION OF WORK: ��Cik:Nk CSalC 14- -.A.0.) ��"� '-.1--( \rst c9,.._ (2)LAL 1A�S <br /> • <br /> • <br /> % <br /> • <br /> i-'':.;:•••r-..-'- . . — - <br /> TOWNER NAME.Nos,-;v,y 0) TENANT NAME(it Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> COY STATE ZIP <br /> OWNER PHONE: OW <br /> „ .. �NEMAIL: <br /> �ER <br /> CONTRACTOR NAME: &"`r1e.1�' S G c ! C, L _ <br /> 'CONTRACTOR ADDRESS: STREET t ))tl \ FPL: . <br /> CITY N-\\../‘ V.. kki\-- (��STATE k. ZIP q <br /> CONTRACTOR PHONE:L ze5)2 tO— ( (}bE CONTRACTOR EMAIL b 1 \N1.. �,ll.0.@ >W1c \.co 1/U� <br /> CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> :PRIMARY CONTACT: El OWNER //, S�NTRACTOR 0 OTHER(Please Specify) <br /> - <br /> CONTACT AMEN - CONTACT PHONE: LeZg5) Z__(0"" Tb <br /> �(� , CONTACT EMAIL: 1 wsA‘0.--k\--4,1 \60� yt j�,COVA <br /> AGREEMENT.-T hereby certify that I have read and examined this application and know the same to be hue and correct All provisions of laws and oldiances 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 or the performance of construction. That t 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 296.200 WAC <br /> City of Everett Official Use Only <br /> 1 FEE I <br /> • ..t'(4-7,, • I � <br /> ,l <br /> PERMIT# <br /> _ „iv, <br /> E LC — 0 Cc.-) 1 <br /> f 1 <br /> .caner/A,:d1�iSig nature late (Revised 10/12/2095) <br />