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�.,�03� �hr c�w�a.oJ�c.-ru,es <br /> �c-rRicaL ��Rnnir �Pd�lc�►rio� <br /> CITY OF EVERETT PERMIT SERVICES ! <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ; <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everetfinra.gov� www.everettwa.gov/permits ; <br /> 3 <br /> ; RROJECT SITE INFORMATION i <br /> �; _ . . � �� ., � _ s�r�,r wa 9�8zo3� � � S�S���� � � „:�,_ <br /> PROJECT ADDRESS: e i,�L. � <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF ; <br /> BUILDING TYPE: O SFR-DETACHED O SFR-ATTACHED O DUPLEX O MULTI-FAMILY-#OF UNITS: COMMERCIAL I <br /> USE OF BUILDING: Mp,��V��,-��a� � <br /> . , � <br /> _ <br /> ELECTRICAL APPLICATION INFORMATION <br /> CONTRACT PRICE OF WORK:$ j <br /> � <br /> NUMBER OF DEVICES(if low voltage): ; <br /> FIRE ALARM? o YES NO � <br /> ASSOCIATED BUILDING PERMIT#(if applicable): 1V� ; <br /> � <br /> DESCRIPTION OF WORK: V" ,�ryV' � ��'� '' � <br /> � <br /> . ,� � <br /> ; <br /> .i <br /> I <br /> i <br /> CONTACT INFORMATION <br /> � <br /> OWNER NAME: SoE�tJG CoMPAcIJ 7ENANT NAME(If Commercial): � <br /> OWNER MAILWG ADDRESS: srReer ?�Cp�S V1/. �S�i.�p R-�j. ' <br /> cm' �V� STATE W� zia qPj203 <br /> OWNER PHONE: OWNER EMAIL: ; <br /> CONTRACTOR NAME: SEQVO �i-E �L-�C`,Tl�-IG LL-� f <br /> CONTRACTORADDRESS: srReEr 5135 (JE 2�D ST• � <br /> � CIN �L�.��("J'�� STATE W� ZIP �SZ i <br /> CONTRACTOR PHONE: ��j,°�03. �"� 11 CONTRACTOR EMAIL:�a►' •�ae Q►-� �r�,� uo aI�►•�-nrvl <br /> CONTRACTOR LIC.#(REQUIRED): V��.(i q"� S CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: o OWNER CONTRACTOR O OTHER(Please Specify) ; <br /> � <br /> CONTACT NAME: CONTACT PHONE: .�5.�l03. ��(1 i <br /> GA�R"y $EL��I.IGE1�- CONTACT EMAIL: ar ,�e�o�n�cr @ Se a . Cor� � <br /> AGREEMENT.�I 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 type <br /> of work will be complefed whether specified herein or not. The granting of a permif does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and l <br /> comply with the State Confractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everetf Official Use Only ', <br /> PERMIT# <br /> ��- � . E 1�1 l2 � 6�a <br /> O ner/ ut d Agent Si ature D te (Revised 9/23/2016) <br />