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/az?25- y.%Z.03/ <br />aTr� <br />ELECTRICALS PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 j FAX 425 257-8857 ( (E) evereiteps@everettwa.gov I www.everetiwa.gov/permits <br />TOM", <br />-.. <br />E N R iPM�ry <br />.t <br />PROJECT ADDRESS: 6717 <br />BUILDING AREA (if residential, new construdon, nlm,del, or add' n) SF <br />BUILDING TYPE: © SFR DETACHED © SFRATrACHED © DUPLEx Q MULTI -FAMILY -#OF UNITS: COMMERCIAL <br />c� <br />USE OF BUILDING: e G EVEEE-rr <br />AIPIPIL- �A �Y O' �.015 a1V! � ...OY►)!. �' .� ^-s - S� J. T V z•:Y�-�.rc .. •�avc A•.Y:..:a: /y�,sir{ N��i` t.. - r•. i}c���C.. �Z•:13••.:...-'Sd� atL n:.....• ...1x-n.i: �.t4'.,:ia�.��^._..�i..zu4.5 �:..:r ris `}=��.:!.:. �::i:i_. <br />CONTRACT PRICE OF WORK: $ <br />NUMBER OF DEVICES if low voltage). <br />FIRE ALARM? ❑ YES XI NO <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />DESCRIPTION OF WORK; <br />,C+OMTAC7INFOl1VlA`iQN <br />OWNER NAME: TENANT NAME If Commercial): <br />OWNER MAILING ADDRESS: MEET <br />crrY �' srarE yV/� z� �2 2207 <br />OWNER PHONE: OWNER EMAIL: <br />CONTRACTOR NAME: <br />CONTRACTOR ADDRESS; STREET• too $Qx <br />� /� <br />CITY vl M— t- srAi A V �" TIP <br />CONTRACTOR PHONE: rj_2 4 « "t CONTRACTOR EMAIL: jE! . ii E-g / l ' tfDIJ') <br />CONTRACTOR LIC. #(REQUIRED): 6C-NLej5W-qO Z <br />CITY OF EVERETT BUSINESS LIC.1t(REQUIRED): 04-0 <br />,02 PRIMARY CONTACT: ❑ OWNER EOCONTRACTOR D OTHER (Please Specify) <br />CONTACT NAME: CONTACT PHONE:!j' r5�(rh Ip1 <br />. -D97)q )q 15 CIeUW CONTACT EMAIL: DENN 1S. 6KOW 6 EW 1 r. (4—OM <br />AGREEMENT.' T hereby certify that/ have read and examined this application and know the same to be true and correct. Ail provisions oflaw-s and ordinances governing this <br />type of work wffl be completed whether specified berafn or not. The granting ofa permit does not presume to give authorltyto violate or cancel the provisions of any other state or <br />local law regulating construcb'on or the performance of oonsfructfon. That f am authorized by the owner of ihfs property to perform the work for which application Is made and l <br />comply with the State Contractors Law 18.27 RCENand 296.20d WAG. <br />OwnerfAu nr zed Agen Signature Date <br />City of Everett Official Use Only <br />FEE <br />3l t <br />PERMIT # E I l I <br />b' O <br />(Revised 1011212015) <br />