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. �� <br /> ������'�����[� ������� .f�'�'��������t� <br /> �, CITY OF �VEREl I �'E�MIT SERVICES <br /> 3200 CEDAR ST{�ELT, EVEf�E I i�, WA 98201 <br /> (P) 425-257-88i 0 I FAX 425-257-8857 I (E) everefiteps@everetfiwa.gov I www.everettwa.gov/permits <br /> PROJECT S17'E'11�1�ORMATION , <br /> PROJEC'FADDRESS: '� ��,� �� (��� <br /> BUILDING AREA(if residential,new construction, remodel,or addition) g� <br /> BUILDING TYPE: 0 SFf3-DETACHED ❑ SFR-AITACHED � DUPLEX � MULTI-FAMILY-#OF UNITS: OMMERCIAL <br /> USE OF BUILDING: � <br /> ' ELECTRICAL APPLICA'9'ION IPI�ORMA�'ION <br /> CONTRACT PRICE OF WORK:$ �. p <br /> NUMBER OF DEVICES�(if low volta e): <br /> FIRE ALARM? ❑YES ❑ NO <br /> ASSOCIATED BUILDIRIG PERMIT# if applicable): <br /> DESCRIPTION OF WOl�K: � i � <br /> 'r_I.�]�(LCS ''�, 1 �' <br /> CONTA�'6'' It��A1ZMfA�'90I�9 <br /> OWNER NAME: i ENAPJ�'NAME(If Commercial) ) <br /> OWNER MAILIfVG A�DRE35: srae� �� <br /> � C� STAT� ZIP <br /> 011UNER�'HOFJ�: OWNER GMAfL: <br /> .� � <br /> CONTRACTOR NAME: h� <br /> CONTRACTOR ADDRESS: s-rReEr 3 � ,3�g~ ��� �j <br /> C� STATE w ZIP� � <br /> CONTRACTOR PNONE: ��� �3�(� CONTRACTOR EMAIL: � s �}�rVj <br /> CONTRACTOR LIC.#(REQUIRED): � �, CITY OF EVERET7'BUSlNESS�IC.#(REQUIRED);� �� <br /> PRIMARY CONTAC�: �pWNER ONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAh�IE: � COMTP�CT PHQNE: (�: s�' a-� o�(� <br /> JI�'�—{`i+'� ✓ CONTACT EMAIL: � �.r�^, <br /> AGREEMENT.•T hereby certify th��t I have read and exarnined this application and know the same to be true and correct. All provisions oflaws and ordinances governing ihis <br /> (ype of work will be completed whether specified herein or not. The granting of a permif does not presume to give authority to violafe or cancel the provisions of any other state or <br /> loca!law regulating construction or the performance of consfruction. That!am authorized by the owner of this property to perform the work for which applicaGon is made and I <br /> comp/y with the State Contractors�aw 1827 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE --� <br /> � �� <br /> l PERMIT# <br /> � E ��C O -- ��l � <br />