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. <br /> ----- ---------------. __�___ ____..____ I��������v��������������-----------..��._.�__ <br /> CiTY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98209� <br /> (P}425-257-8810 � FAX 425 257-8857 E (E}everetteps@everettwa.gav� www.evere�tvva.gov/permrts <br /> , . . ,. ... _.- .__. <br /> _ .._._u.,.. , <br /> � RR�JECT S1TE�NFARMATION :� �. <br /> PROJECT ADDRESS; � uQ;(' !� <br /> BUiLOING AREA{if residential,new consfructian,remodet,or addiiion} SF ' <br /> BUILDING TYPE: ❑SFR DETACHED ❑SFR-ATTACHEQ ❑DUPLEX ❑MULT!-FHMILY-#OF UNITS: COMMERCIAl. <br /> USE OP BUILDING; ��, • <br /> _. . . . .. ,._ .. . _. -_;..., . _. _., .._.._ . . . <br /> _ ... , .. <br /> - : ELECTRICAL APPLICATION INFORMATION ' = <br /> GONTRACT PRICE OF WORK:$ � • <br /> NUMBER OF DEVICES(ifi low volfaqe):� � <br /> FERE ALARM? YES ❑NO <br /> ASSOCIATED BUILDING PERMiT#(if app(icable}: <br /> DESCRtPTION OF WORK: cSl 5 <br /> . - � � ' � GONTACT�INFORIV(i4TION.� . . � . _. . _ - <br /> OWNER IVAME: U w � TENANT NAME(If Commercla!): � � $ <br /> pWNER MA(L(NG ADDRESS: sre�r ' � <br /> �� ��� 1� �p-� w �P � � e�a <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: E ' S <br /> CONTRACTOR ADDRESS: srREer 2a 2 �l- V�e-�- � <br /> � CI'tY �STA'fE �� ZP R ��L� <br /> CON7'RACTOR PHONE: � �j� CONTRACTOR EMAIt;° b �S 1 � j'�, ' <br /> GONTRACTOR LIC.#(REQUIRED): �T,Cj�� � � CfTY OF EVE12ET7'BUSWESS[.IC.#(REQUIRED): � l C� <br /> PRiMARY CONTACT: ❑OWNER �'CONTRACTOR uHL7 OTFiER{Ptease Specify)� v <br /> CON'fAGT NAME. CONTACT PHONE: �`, 3�, ���� . <br /> ° �O`�1`� G7O�1'G� CONTACT EMAlL: S t � irT 5 h- C�Y� <br /> A6REEMENT.-T he�by certify that I have read and examined this applicafion and tmow the same to 6e true and correct A!f provisions oflawrs and ordinances goveming this <br /> type of work will be completed whether spec'rtred herein or not The granting afa permit daes not presume to give authorily to viatate oe cance!the provisions of any otlrersfate or <br /> loca/law regulaffng construction or the peiformance of cronstruction. That t am authorized by the ownerof fhis properfy fo perform the work for which appCrcation is made and/ <br /> comply�+r7ft the State Conhactors Law 98.27 RCW aad 296 200 WAG <br /> G7ty of Everett Of�rciai Use On1y <br /> FEE <br /> � O �—. <br /> PERIIAIT# _ � — �� <br /> _ I ,1 � l^�-� <br /> Own r/Aufhorized Agent Signa#u Dafe , (Revised 70/1?J2095) <br />