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����� ���� ���. �� ����wc����� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 982D9 <br /> (P)425-257-889 0 � FAX 425-257-8857 � (E) everetteps@everetiwa.gov� www.everettvva.govJpermits <br /> ,, . , _ . .. . :._ - <br /> _. _, ,. <br /> ' ' . `: . PR0�9�C'T S1`i°E INF012t�i,ATION:= <br /> _. . _.. .. ... <br /> _ .. .... . _ _... _ ._ <br /> _ . _.. . . _ <br /> PROJECT ADDRESS: '°" 2.�(��� Fa¢�'� .I� S�`G'� (! tf r,J `��Z.C'.1� <br /> BUILDING AREA(if residential,new construction, remodel,or addifion) E`�2Si�`�t�l�`�1 SF ' <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> U5E OF BUILDING: <br /> _.. .:._:: ---- - <br /> .. .. <br /> , . ._• <br /> � ELECTRICAL'APPLICATIOt� INFORMATION - <br /> CON7IRACT PRICE OF WORK:$ � <br /> NUMBER OF DEVICES(if low voltage): <br /> F1RE ALARM? ❑YES ❑NO <br /> ASSOCIATED BUILDING PERMiT#(if applicable): <br /> DESCRIPTION OF WORK: ��N�f1 C�i`�i�� 2 �l �W I/ <br /> �- .,.�` �' �- � ..,� i� . <br /> . .. . ... ... _ . . - _ _ <br /> , , . _ . . <br /> ,. . CONTACT..INFORMATION, _ - <br /> OWNER NAME: ���( ?(�f''t TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: sraeer Z L C1VZ � L j�� <br /> CITY ' �'i,[�� � STATE� �y'� � ZIP ��� <br /> OWNER PHONE: `�(i� Q S � �L�sC�'1 OWNER EMAIL: <br /> CONTRACTORNAME: ii25I� It ' �e<.G�I CGn/Jrf" . ,� ~� '' �Sl�� <br /> CONTRACTOR ADDRESS: srReEr 'ZZ!)q 'f �ZI� <br /> a�rv L, S �V�N S STATE �t.%. ziP P'%Z" � <br /> CONTRACTORPHONE: > ' � ��.,/ (1/� coNTRACTOREMAIL: • �fZ � '. �v�7�!'r`LrL'�v' �. ' ' G <br /> CONTRACTOR LIC,#(REQUIRED): l—Ut j���'32.� � CITY OF EVERETT BUSINESS LIC.#(REQUIRED):D �O <br /> PRIMARY CONTACT: �OWNER �CONTRACTOR ❑OTHER(Ptease Specify) <br /> CONTACT NAME: CONTACT PHONE: ��'�) t�',� �a�l � <br /> ��T�- ��(1 AI CONTACT EMAIL: �1,+�����'�G�ff t��%J1i'�� - � �-�.t e'I t LG'�v'� <br /> AGREEMENT.�T hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of/aws and ordinances goveming this <br /> type of work willbe completed whether specified herein or not. The granting of a permif does not presume fo give authority to violate or cancel the provisions of any otherstate or <br /> locallaw regulating consfruction or the performance of construction. That 1 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 98.27 RCW and 296.20o WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> � � �1��°% <br /> PERMIT# <br /> ._,�,-- ___..... �,, �� �,7 � ���D� <br /> wner/ uthorizedAgen4Signature Date (Revised 90/12/2095) <br />