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<br /> ELECTRICAL PIS;. r, ;IT APPUUCAT1•N
<br /> Il► _ CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERE 11,WA 98201
<br /> (P)425-257-8810 J FAX 425-257-8857 I (E) everetteps@everettwa.gov( www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 1•. LjLr �,
<br /> BUILDING AREA(if residential,new construction, model,or addition) 1- SF
<br /> BUILDING TYPE: Cl SFR-DETACHED Q SFR-ATTACHED 0 DUPLEX El MULTI-FAMILY-*OF UNITS: J)Q COMMERCIAL
<br /> USE OF Bull DING: �;0 II�G EVeEE T
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<br /> CONTRACT PRICE OF WORK:$ 7O1/ GOD
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<br /> NUMBER OF DEVICES(if Iow voltage):•
<br /> FIRE ALARM? El YES NO
<br /> ASSOCIATED BUILDING PERMIT#(If applicable):
<br /> DESCRIPTION OF WORK: r.' 1A 1 JL lid 2 � DLaji/26
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<br /> :_: :,. ti COI��TACT IN OR1StIOIi1 • : .
<br /> OWNER NAME: TENANT NAME(If Commercial): FICEljj6
<br /> OWNER MAILING ADDRESS: sTxr Pa ;9X 3707
<br /> cRr .5011rLE STATE Wig y9/12 2207
<br /> OWNER PHONE: OWNER EMAIL:
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<br /> CONTRACTOR NAME: (' e47 f 1P5Tre. e.:n/.7A....)
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<br /> CONTRACTOR ADDRESS: srnsl=T' ` .�.�^ �
<br /> CITY m��/L 7 Z2 STAT�� ZIPgg2Z)4
<br /> CONTRACTOR PHONE:426-Z94-1944 CONTRACTOR EMAIL: k/-'let, l ininEgW kit -wir, Coif)
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<br /> CONTRACTOR LIC.#(REQUIRED): agiVEgC.1� D p"1rD•� CITY OF EVERETT BUSINESS LIC.*(REQUIRED):01-1054/1
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<br /> PRIMARY CONTACT: CI OWNER RI CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: p ''I CONTACT PHONE: ,2a4-736--6,St��
<br /> J) J?IS ( 41)(4 CONTACT EMAIL: DENA/iS.Cle4iv® kI W/fJT. &M
<br /> AGREEMENT:T hereby certify that/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 wN be completed whetherspeciged herein or not The granting of a permit does not presume to give authorl(yto 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 property to perform the work for which application is made and I
<br /> comply with the State Contractors Law 18.27 RCW and 296.204 WAG
<br /> City of Everett Official Use Only
<br /> FEE
<br /> '7PERMIT*
<br /> E SOZ (-(4
<br /> :44 Ailla/
<br /> Owner/Au or zed Agen Signature Date (Revised 10/12/2015)
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