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� � <br /> ��.�������� ��R��� /�����C/�1�f�� <br /> CITY OF EVERETT PERMIT SERVICES <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 /> PROJECT �ITE INFORMATIAN <br /> PROJECT ADDRESS: ,� 7 �' 7 � ;� �� , 1 . �- <br /> BUILDING AREA(if residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: �L•Y.,��� � ,cE� �,, , �� <br /> ELECTRICAL APP�ICATION INFORMATION <br /> CONTRACT PRICE OF WORK: $ �`-_,C.- �� <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES 1,�N0 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: ��" I���I� (1-- c�'' "� �,: � . - „ �'- <br /> � <br /> CONTAC"�' INFORMATION <br /> OWNER NAME: nC, . TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sTRe����� ;� \/� <br /> - r <br /> CITY . .� STATE �-!I ZIP f�.�(' <br /> /1 <br /> OWNER PHONE: ���5— '��>�� -���L OWNER EMAIL: <br /> CONTRACTOR NAME: � c \ ci L L.C.._-- <br /> CONTRACTOR ADDRESS: sTReer ``��(2i` `�'�'� �C' /� <br /> CIN ��� - �� n STATE ZIP IO i �� <br /> CONTRACTOR PHONE: Y�L"(�•-'��,�—j �5 CONTRACTOR EMAIL: � • •�� : � �... .� .- I <br /> o- ' � Y�sti <br /> CONTRACTOR LIC.#(REQUIRED): �"� D�5 CITY OF EVERETT BUSINESS LIC.#(REqUIRED): ` r, <br /> .. �,�.: . . ..,._,. _::,_. . .:, .... ....._.. .........:. _.:.. .:..... .......... . ...:...... .,.... .-,.... <br /> -... . ..:...... _..-... _....:.:,. ....:.., � <br /> PRIMARY CONTACT: �LOWNER �CONTRACTOR ❑OTHER(Please Specify) � <br /> CONTACT NAME: CONTACT PHONE: ;��,._ `;�, _ `y;f � � � <br /> .� <br /> '�� CONTACT EMAIL: <br /> AGREEMENT:T hereby certify that/have read and examined fhis application and know the same to be true and correct. All provisions of laws and ordinances govern.�ng this <br /> type of work will6e completed whether specified herein or not The granting of a permit does not presume fo give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction, That l am authorized by the owner of this property fo perform the work for which application is mac'e and l <br /> comply wiEh the State Confracfors Law 18.27 RCW and 296.20o WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> � �5k� <br /> PERMIT# <br /> ��� 12�05� l(p E� 1 - 22 <br /> Owner/Authorized Agent Signature Date (Revised 10/17J2015) <br />