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����� �� � �� �� ���������� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STR�ET, EVERETT, WA 98201 <br /> (P)425-257-8890 � FAX 425-257-8857 � (E) everetteps@everettwa.gov J wvw,r.everettwa.gov/permits <br /> ,,, . , . , .. <br /> , , : . ... ..:,, <br /> - <br /> ` PIdOJE�7' �1�'E IN�OIit�I�TlOtd, `_ . <br /> _. . . _.. .. , _ ,,. . <br /> _. . _ .. . _ . _ <br /> PROJECT ADDRESS: �� a � Go 1�p � .� S `�-t�� � � .� <br /> BUILDING AREA(if residenfial,new construction,remodel, or addition) S S"�� SF ' <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: �COMMERCIAL <br /> USE OF BUILDING: <br /> _. _ �.-. ...,. <br /> _ . .. _ . <br /> ,.. - <br /> . <br /> ` ELECTRICAL;APPLICATION INFORMATION <br /> ., .. :.. . ... .... .. . .... . . _ . _ .... ._ ... .. _.. . . .. . <br /> CONTRACT PRICE�F WORK:$ �� ��J � <br /> NUMBER OF DEVICES(ifi low voltage):� � �� <br /> F1RE ALARM? ❑YES ❑NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPT(QN OF WORK: <br /> Go�,.�u-ti c.i��. 'r�v�s C�..b i�"t� �-- S ��. .,�.;. s � . <br /> ... .._ __, .:. . .. . _. . - <br /> ... . ... .: <br /> ., :. . ; : > :.... CONTACT INFORMATION.:.. <br /> OWNER NAME: TENANT NAME(If Commercial): �� <br /> OWNER MAILfNG ADDRESS: s~r�eEr <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR'NAME: '��r�O �-t <br /> CONTRACTOR ADDRESS: sTReEr 1 1�� I 6'1 S� <br /> � C�7y Z Yi�{'��✓t�t�� �STATE W � ZI P �/i�75? <br /> CONTRACTOR PHONE: dO C Z$v CI L/ � CONTRACTOR EMA(L: •G 1�r�-.��� G ee,(�Gv�. •�j�f p J��.C� eravh <br /> CONTRACTOR L(C.#(REQUIRED): �N h1 t7 L� 1� �� CITY OF EVERETT BUSINESS LIC.#(REQU � <br /> PRIMARY CONTACT:�`�OWNER WL ❑CONTRACTOR ❑QTHER(Please Specify} <br /> CONTACT NAN1E: GONTACT PHONE: �� 6 2 S O � I.� C/ � <br /> �h"-�'L-�� �I I�ti CONTACT EMAIL: ��L, e�,,,,I�.,�� @�nn p �L C ; Lv'�-� <br /> AGREEMENT.�T hereby certify that l have read and examined this application and know the same to be frue and correct. All provisions of/aws and ordinances governing this <br /> fype of work will be completed whefher specifred herein or not Tf�e granSng of a permit does not presume fo give authority to violate or cancel the provisions of any other sfate or <br /> locallaw regulating construcfion or the performance of construction. That l am authorized by the ownerof fhis property to perform fhe work for which application is made and 1 <br /> comply with the State Contractors Law 18.27 RCW and 298.20o WAC. <br /> � City of Everett Official Use Only <br /> FEE <br /> �� as <br /> PERMIT# <br /> ��- 1S 1� E � 1 -�2�. <br /> Owner/Autfiorized Agent Signature Date (Revised 10/1?J2095) <br />