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04/06/2017 09 : 21 #1970 P. 001/002 <br /> ��ECTRICAL P�RMiT AP�'L1CATfON <br /> CI7Y OF EVERETT P�RMiT SERVIC�S <br /> 3200 CE�AR STREF]', EVERETf,WA A8201 <br /> (P)425-257-8810 j FAX a25-257-8857 �(E)evere#teps(�evereKwa.gov J www.everetiwa.gov/permits <br /> �R0.1�CT SIT� 1NFOAtMMq�i1�N` <br /> PR�.fECTADQRESB: J�(,S'Q� �� <br /> BUII.QING AREA(ff resfdentfal,new r.onstructfon,ramoclel,or addition) SF <br /> BUILD1NCi TYPE: ❑SFR-0ETACHED ❑S�R-ATTACHED ❑DUPLEX �MULTI-FAMILY-#OF UN(TS: �COMMERCIAL <br /> U8�OF BUILDING: S' �� <br /> �u��c�►�Aap�.rc�►�r�or�.�M�a�►rEON <br /> CON7RACT Pf210E OF WORK:� <br /> NUMB�R O�pEVICES #f low volta e : <br /> FIRE ALAiZM? O YES Q tJ0 <br /> A�$OCI4T�A SUIt.a1NQ PERMIT� if a licable : <br /> DE3CR1PTfON O�WOrtK: //lj /�0l�1 c�% .�� <br /> C4NTACT 1[�RFORIMIA�IdN <br /> OWN�R NAME: ' I TENANT NAM� tf Commsrcdal = <br /> QWNER AIWL.lNG MDRE8S: srn�r Q .� <br /> CfTY 3'iATE 21P O <br /> OWNER PNON�: � O� OWNfR EMAlL: <br /> CONTRACTOR NAME: �.1�-'L-�f Il .IJ <br /> CONTRAC7'OR ADpRP.3S: srn� Q( <br /> Cf1Y STATE 9P �C� <br /> CONTRA�CTOR PHONE: .� CONTRACTqR EMAIL: <br /> CONTRACTOR LIC. REqWRED): I Z L CITY OF�VERkTT BUSINESS UG�{REQUtRED):��`� �� <br /> PRIMARY CONTACT: �OWNER q CONTRACrOR C]pTHER(Ple�se Spacity) �� /� C� T��k, <br /> cawTacr tr4ME: co�wcT PHON�: �+ �� iZ <br /> e 4 yL�t/�L,�l�C coNTACT�MA1L: <br /> aGR�,�rEnrr:r AsroDr nadh[hat!here raed eno arru►unsa tl�s eppJlcadw,and know tha same ro os bue and oonect. AU <br /> af►vork�911 be P��$of wws ari0 ond6k+nos6�pvarrx�ig thJa type <br /> ��Spec49ed heMelrt w not 1'J�e ys�tuip ei a p�tnnit does not prasione m qfva�Mor9fY to►dolata ar carkef the prot�slor�s o/arty cther stata or <br /> IadJ!aw+aaukrthw cor�iao or th�parhvrnt„os or ran� 71,er 1 am e�dnorm.a ay n,s ow.ror or this pvupe,ry ro perh»n tne►.ah lor w►+i�d,apptFcatian 1s metle amr r <br /> �a7�N Nd�tha S7ate CaWaCax LAw 18.27 RGW Bnd 288�200 WA� <br /> City oI Everatt 011k�1 use onJy <br /> PERMIT# <br /> � ���d ' b� <br /> p (Revl�ad 5623�2096) <br />