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ELECTRICAL PERMIT l°f'�4,UC TION <br /> � CITY OF EVERETT FERMI S VICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 ] (E) everefteps@everettwa.gov I www.everettwagov/permits <br /> :•:: ^s '‘:=::-.'"'': .; .'."':.''-• <br /> . .•,. - :' iegryryll @� p® gvil Ag `: 3:-,'- <br /> �'... `• y ....'. •}:O .'=. ,;..: .. <br /> •= <br /> PROJECT ADDRESS: 3¢j©c ( Liet4A,1_ 4)-e. <br /> BUILDING <br /> )- <br /> BUILDING AREA(if residenfi new construction, emodel,or addition) .5 zip SF <br /> BUILDING TYPE: ❑SFR-DETACHED 0 SFR ATTACHED tJ DUPLEX El MULTI-FAMILY-#OF UNITS: El COMMERCIAL <br /> USE OF BUILDING: A v it 't", -17 T"I" b <br /> c, <br /> 7���y rrig�gg�� <br /> �c�YAYYI <br /> '�-)i`O1' )Ed its;= <br /> � <br /> - ~1�1��1! <br /> -�- f�I�A�f <br /> Y cam- <br /> CONTRACT PRICE OF WORK:$ 'j oc-7 — ' <br /> NUMBER OF DEVICES (if low voltage); '7 . <br /> FIRE ALARM? 0 YES Ilti,NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: t/ -w Mill/C- o-"\ T-r r/n, <br /> t?WNEFI NAME:: / �//I/�•r lr7 t�c'vi CS ,,,,,—c �},,D /TENANT NAME(ifCommercial): <br /> OWNER MAILING ADDRESS: sTREET /2—2-// /(/ � • `7�-- <br /> Crrr5fi ,,,ov1,,.ic3 L. STATE AA 7P 9ffZ5 <br /> 6 <br /> OWNERPHONE: ...,.�...,.•,=.•..a....�,.- _...,<. ....,��. .- .....OWNEREMAIL:,.. ..-..-...,.... x . ,.---w. ,, �n .-.-...,. ..._- —..—.....-- <br /> CONTRACTOR NAME: 00 C.STfl' .;(-r(-Tr _ 4.-e--e__ <br /> CONTRACTOR ADDRESS: STREET t,/ ,' 2_ Q/ ST, /vi! ^ ZIP 7 <br /> COY (21 a., YI/rj�o�.Le STATE; /4 .9e z/D <br /> CONTRACTOR PHONE:fh 0'1;6 / -g-2_,9,7 CONTRACTOR EMAIL: 449 45 T� c_�.-� 73.1-i r 7 , v►-.e--r- <br /> CONTRACTOR LIC.#(REQUIRED)- Lde._91-6 e_L g16., Cw1 ._„ _ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):Q 5-3 Z6/_ <br /> PRIMARY CONTACT: 0 OWNER a-CONTRACTOR EI OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: %o —65/--.•(zoo _ <br /> 3e 077 _ -e-c J CONTACT EMAIL:.5 4.6 , <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 for which application is made and I <br /> comply with the State Contractors Law 18.27RCWand 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> • 4.E150 O/ <br /> PERMIT# <br /> E \ LQ01 - 022 <br /> Ovvner/AutlioriZed Agent Signature Date - (Revised 10/12/2015) <br />