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_ �� ���� � � �� �� ���� � <br /> �' CI!Y OF�VCK�ET I ����IT SC�VICCS <br /> 32Q0 CEDAR S I REET, EVEt�E I T, WA 98201 % <br /> (P}425-257-8810 I FAX 425-257-8857 I (E) evere�eps@everefi�wa.gov I www.everetivva.gov/permits <br /> ` - - :::::.. .. .. ... <br /> � . . . .. . ..... .. <br /> � � :.... .. ........ . . <br /> � - <br /> . ..- _ <br /> � . .. . <br /> :.. . ....: .. . ..';:;�:.•:PROJEC`i'::S17"�:s._ � RtlAA'�IOf�==. :`° . ::_:.. .� :. . : . <br /> . . . . .. . . . ... .:.. � . .. � . <br /> PR�J@Cf ADDRESS: � "�,) �� �v <br /> BUI�DING AREA(if residentiat,new consiruction,remodel,or addition) g� <br /> BUILDING TYPE: �SFR-DEfACHED ❑SFR-ATTACHED 0 DUPLEX I_1 MULTt-FAMILY-#OF UNITS: MMERCIAL <br /> USE OF BU!lDING: '�� � <br /> :.. .. ....: . . .....:... ...:. ... . <br /> . . . . . ... . ... <br /> . . ..... : �.,:...:.:::: ..:..:: .... : <br /> �� �:::°��.::�':� r':���.�`;:::;:��.'�.::�;'.:,:� �_ ..'`:�.,;:�.::':;:ELECT'RICAL;APPl:ICA'�ION I�I�OL�MA <br /> � TtON: <br /> . > .. . .... ..: .... ... . :. .: �. ::..._ .. ..:...: �..::.,. ... .>. .::. � :.. :. : :. <br /> . . . .:. ...... _ .. . <br /> CONTRACT t�i�IC�OF WORiS:$ � 2,,�Qf <br /> NUMB�R O�DEVICES(if low volta e}: <br /> FIRE ALARM? ❑YES ❑NO <br /> ASSC)GIATED BUILDINC P�RMfT#(if applicable): <br /> o�s��ipf��o��: 2-� t9i.4'il.� ?7Y1S <br /> S �' � <br /> .:. . .... ,. ... . . <br /> ..,... .. . . . <br /> ... . :. . .:. . ... : . . .: . .:. _ . <br /> ... .... .. :.: ...:. : :....... .. ...... <br /> :: . . . . .. .:. .. �a�-��:���o:�r��.-r�on��.: <br /> :.._. .�.:. . . :.... <br /> . . , <br /> . . .. .. :.. , <br /> .. .:_.. ... .:. . ..... ... . ....:. <br /> OWNEt�NAME: � - <br /> 7'E�lANT NAME{If Cornmereial)• �,,� <br /> f9WNER MAIlIN(a ADDR�SS: sraEEr <br /> C� STATE Zip <br /> OWN�R PHONE: OWNEE��MAI�: <br /> . ...... .. <br /> ... . . <br /> CONTRfkGTOR NAME: � � � �� <br /> GON7'RACTOt�/�t3DRESS: s-raeEr�GJ�j � �� � � <br /> C� `r" ' STATE �/ t ZIP � �f/ <br /> CONTRACTOR PHONE. �� �� Q CONTRAC7"OR EMPiIL:4� � � , <br /> r n <br /> CONTRACTOR LIC.#(REQUIRED): !� � �17'Y OF EV�RETI'BUSENESS LI�.�(REQUlRED) � <br /> . _. . . . .... .. _ . <br /> PRIIUTARY CONTACT: ❑OWNER ONTRACTOR 0 OTHER(Please Specify) <br /> GAMTAGI'NAIVlE: CQR1Tl�C�t�FO�N�: r3�„�r <br /> `��� i�y ' '" �`�v "^ 'V� CONTACT�MAiL: � � �G� <br /> AGREEMENT.•T hereby certify thaf!h2ve read and examined this application and know the same to be true and correct. All provisions oflaws and ordinances governing this <br /> type ot work wil!be completed whefher specifred herein or not. The granUng of a permif does not presume fo give authorify to violafe or cance!the p�ovrsions of any other state or <br /> local/aw regulafing construction or the performance of consfruction. That I am authorized 6y the owner of this properfy to perform the work for which applrca6on is made and/ <br /> comply with the State Contractors Law i8.27 RCW and 296.200 WAC. <br /> . City of Everett O�cial Use Only <br /> FEE <br /> � PERM[T# <br /> . � <br />