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aECTRICAL PERMIT L LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)ever+ e s r ttwa.gov 1 www.everettwa.gov/permits <br /> , <br /> PROJECT ADDRESS; 01t ' <br /> BUILDING AREA(if residential,,new nstruction,remodel,or addition).rte 6 AF> <br /> BUILDING TYPE: El SFR-DETACHED ©SFR-ATTACHED, 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS:, 0 COMMERCIAL <br /> USE OF BUILDING: a+ <br /> t �V l `torrt '`' �drI✓ Tr� a �` ` i`Yi5 ' t -- $.� - �� f <br /> CONTRACT PRICE OF WORK: 0 <br /> NUMBER OF DEVICES(If low voltage): <br /> FIRE ALARM? 0 YES ki N r <br /> ASSOCIATED TED BUILDING PERMIT ft(if plieable) <br /> DESCRIPTION OF WORK: : P. t A: r r '_ �"g1 _. <br /> . � <br /> � F l <br /> OWNER NAME; TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: s eET 9 l —t4 . <br /> CITU - STATE t /if. ZIP f )„0 <br /> OWNER PHONE: II,INIAIER EMAIL: <br /> CONTRACTOR NAME: ga <br /> CONTRACTOR ADDRESS: ETREET 120 3 Sptimiill � . <br /> cc, seli STATE W a'll R r�4 .. <br /> CONTRACTOR PHONE: ,700.,72,0 S'he a.00NTRACTOR..EMAIL: I o <br /> CONTRACTOR LEC, REQUIRED):Ea zoN CITY OF EVERETT BUSINESS LEO. REQUIRED): <br /> PRIMARY CONTACT: ©OWNER1�CCN <br /> TRACTCR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 31 H' <br /> a rF Ge . A o tCONTACT MAIL: �a 4,4, <br /> AGREEMENT:t-hereby certify Mati have read examined this apprication and know the same to be nd comet All provisions d1 and ordinances gehesminig this type <br /> of work wilt be carpieted whether specifiedherein er'not The.lreraino of a permit does not presume give authority to violate or cancel the provisions of any other Atate or <br /> local law regulating construction or Me performance Of construction That"I a authorized by the owner&th€s"propertyto perform the for which app °' e end 1 <br /> cam*t with the State Contactors Lew lea7 R `Wand 29a200 WAC, <br /> City of Everett Official Use Only <br /> PERMIT <br /> E 2- t‘i,ot <br /> *waefriari <br /> re+rl Agent Signature Date th'eatsed 5/2016)' <br />