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1 <br /> */"""----A <br /> _. ELECTRICAL PERMIT AFIkJCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32811 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 I(E)everette a©eiterethva.gov j wrww,ev rr tt.gavlpermits <br /> 3 • • IOJE :SITiE lItiFtiteritA11Q h s } <br /> PROJECT ADDRESS: 0q 4 t S} st';v e tit f " <br /> BUILDING AREA(if residential,new construction,remodel,or addition) 1 t9'V SF <br /> BUILDING TYPE: pi SFR-DETACHED El SFR-ATrAC,HED CI DUPLEX Il MULTI-FAMILY-#OF UNITS: El COMMERCIAL <br /> USE OF BUILDING: SFR. , <br /> t;ONTRACT PRICE OF WORK:$ 1 u0 0.0 <br /> NUMBER.OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 Na <br /> ASSOCIATED BUILDING PERMIT#(if applicable). <br /> DESCRIPTION OF WORK: g e—v) I`r e. S( 2 a.vl,Gt s e tr-V it-,4,4,4"-i e... <br /> , <br /> 4WNER NAME:_ : , C yte,1 s TENANT NAME(if Commercial)a <br /> OWNER MAiU G ADDRessz smear, 6t 0 2 2 P S t . (A1 <br /> CR1' rAY t4 t� '�l STAB1.# t It ZIP fg ) <br /> OWNER PHONY; Li7C,. 2,tu., ivi 7 OVPIEREMAILt YYt I k f l 0 ttIct g ,,. r ? Wksi,C"e . <br /> ...... w .4., X.d.6 6,66 0644+,.-.46.54..J......L ..,1..:a.AR .,n.thdA� .o.-7fr$..%..•.ter.... .t1 4,,, x. r, b t«4..>v:.. <br /> ....l.»<..Lc.. ........:`•,......4w <br /> coNTRACTOR NAME: e <br /> 1 . <br /> CONTRACTOR ADDRESS: a,TREEr PC rot)c 1083 <br /> an, 1_474.14e. STEVelidC grAv WA 23P 411z.S.V <br /> CONTRACTOR PHONE. ". . .1 1 jCONIVA(TOR EM IL Oc il�nC <br /> CONTRACTOR RE L , -.. CITY OF Ev ERRT 11 }f+ LIG. t�UiR D). a TV <br /> PIVNIARY CONTACT: LI OWNER DitCONTRACTOR E3 OTHER(Please Specify) <br /> CONTACT NAME; NTACT PHONE: <br /> . 5 o s ACT)~illlAlL: 1d 0 s cLe Gr ° ot4-1, .*s . Crki.N <br /> AGREEMENT:,T hereby cartffythat Ihave read and examined this application andMow thee=me to hielrue and cow Altpmvlstons.of laws anndwrdInancssgovem&tg#fits\ <br /> $Ypa of wet*Wi sorpietert whethervecilied herelaernot. Thegrenffng ora permit does,notpresurns to Elite aulhorilytovioh3te:orcancel-the provisions of any other state or <br /> local law regulating constntotlon orthe penba Lance of construction. Trate am authorized by the ownerofthis property to perform the work for which application is made and f <br /> -cony 'with the State Contractors Law 1&27 RCW and296.2GO WAC. <br /> Oity ofEverett Official Use artily <br /> FEE <br /> e�� <br /> I 6b <br /> PERMIT# <br /> t 101/301117 E l rD 2 <br /> Owne Au orized Agent Signature Date (revised 10/12/2015) <br />