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• <br /> =2925 271//9a ?9D5— <br /> ,. .- ELECT;.,1CALr PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE I i,WA 98201 <br /> (P)425-257-8810 I FAX 426.257-8857 (E)everetteps@everettwa.gov f www.everettwa.gov/permits <br /> � ''1 <br /> r � .,. ...• ,..o.a .._r .. ... .... .,�.��.. .... .. ...�:waA•��i�, r:.m':.-.,_:r_, ,�..•�,::__.•-.•aQ...•..:.. ... .. ....... .F.....�_... ."�.✓..:� ,. - .. ......:=i; <br /> PROJECT ADDRESS: -17(0r// , <br /> BUILDING AREA(if residential,new construction, 4 odd,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR ATTACHED 0 DUPLEX El MULTI-FAMILY-#OF UNITS: NI COMMERCIAL <br /> USE OF BUILDING: Og. EVge,E7-T' • <br /> •-a+,.;;;a� .a1r,P`' :1yrp,� o.xy.r , ••r<..�,Yir: •.. .,yT•; •ryr�. <br /> r. .., k �GT`:0 Ml:40.1.0401:10,00 -L1RM.,.tTfl01�( <br /> w'St•..:}'•. wv r_ ..w....a :i.••r...�... •... .:4:•:r�5�_,.< n...:iMYt mytivYYUr ...-� 1CLrev t.•�..-. .f.:at•...::. ...a. ,ti'.k:t::�".�`.l<,.:4:.t.....:.r.r�.�1!•�•:],v's 5..._ <br /> CONTRACT PRICE OF WORK:$ / 500 • <br /> NUMBER OF DEVICES(if low voltage):' <br /> FIRE ALARM? ID YES $J NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 07,41-1 -j, � <�� �� • <br /> rb-e� r� , L 777 lfi • <br /> ifiVO ,5i 727 4 <br /> a. .. •. . • -i•• •diiii ACT INFORI A'1'10fit:' . .. ;•. • ..• .<, <br /> OWNER NAME: TENANT NAME(If Commercial): jeCE/i06 <br /> OWNER MAILING ADDRESS: maser fl &Q( 3707 <br /> Coy 50771G STATE // LQ <br /> /2 -22a7 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: 4 e_1305 uC.T/d/v <br /> CONTRACTOR ADDRESS: STREET PO et)X 41401 1 <br /> CITY //)t /G7T1) STATE/l/ LP/g2,04 <br /> CONTRACTOR PHONE:*6-2/4-161 44 CONTRACTOR EMAIL: x/�-,e j. eon <br /> CONTRACTOR LIC.#(REQUIRED): E 40 Z. CITY OF EVERETT BUSINESS LIC.#(REQUIRED):040511. <br /> .sMn..nyr +.•+yap*+•w.n.-�.f/........,,,!-.t'.i lvwrw E..--•r'u.�.aa'. Y.ytMlimcu-.s.•i..•.v...,.�... ','•'.,...s.x.a.v.rw.a w..+. i..+..r....nm.+'r rr....U.r-i•w•-..,..w..-.....,.an....... .ui <br /> PRIMARY CONTACT: ❑OWNER ®CONTRACTOR El OTHER(Please Specify) / <br /> CONTACT NAME: CONTACT��) CONTACT PHONE: 206-73 fj 4 54- <br /> 1X JNJS 6eo{/v CONTACT EMAIL: DENN I g.CKowa I�1�w'1T. &)IY) <br /> AGREEMENT:T hereby certify that 1 have read and examined this application and know the same to be true and correct All provisions of laws and ordinances governing this <br /> type of work will be completed whether specified herein or not The granting of a permit 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 1 am authorized by the owner of this properly to perform the work for which application is made and! <br /> comply with the State Contractors Law 98.27 RCW and 298.204 WAC. <br /> City ofEverett Official Use Only <br /> FEE <br /> q42 <br /> PERMIT# <br /> 1/ / //-/-./7 E 1 C ( -- 40g <br /> Owner/Au orfzed Agent Signature Date (Revised 10/12/2015) <br />