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3//2 <br /> ELECTRICAL PERMIT APP UC kTJON <br /> yam. CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257.8890 I FAX 425-257-8857 I (E)everetteps@everettwa.gov l www.everettwa.gov/permits <br /> , "- i� :;_i.:..t-. — ;.}..r< —.c(�... _ — � —.C�. .::=3vwr@�.: _ — :IS• •�*• „yr :,.is <br /> PROJECT ADDRESS: -�t 1-/;:6109. ./.. ' <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF . <br /> BUILDING TYPE: Cl SFR-DETACHED El SFR-ATTACHED• 0 DUPLEX D MULTI-FAMILY-#OF UNITS: NI COMMERCIAL <br /> USE OF BUILDING: ic tOETikk., EVEEE Tr <br /> ECa�('R[ .A�L�I4IP'k�11.1[�n O U ORMJ#Tt'RO�N,7 '. ''F 1: <br /> <x:.u..... ..�.u..t.�,....� ... :........n_.� .�k�`<.� .r�..•.nv_.hz ;..�s�+.+_ann.9.yt�..r, ..,.41�..r .-...a..t�..:.�..t .�.�o,n£.:,r.1'.....•w Lvl e..,au..lt-•��,' <br /> • <br /> CONTRACT PRICE OF WORK;$ �J�a� /27D . <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? El YES /4 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: gJP �l QO`�-- <br /> 7°?'(it)��2� 45-T • <br /> L P�� <br /> • <br /> • <br /> ? .;.LT <br /> .Y ` , I][� AT:(NORMgTrQ ;. y ...., <br /> OWNER NAME: TENANT NAME(If Commercial): itJ6 <br /> OWNER MAILING ADDRESS: STREET pa ea( 3707 • <br /> , <br /> CRY .501117-a- STATE Vit/t 2l x/J2'/"22 7 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: C.1e�ER.& j 75ne tia.--0/7/0 <br /> CONTRACTOR ADDRESS: maser P'Oox 4t /y <br /> COY /nag e,L22� .7 sTAT�/Ja TIP9g2o4 <br /> CONTRACTOR PHONE:4266-294 4944 CONTRACTOR EMAIL: kittiei. 14th /4 g k,�titf'r. eoii <br /> CONTRACTOR LIC.#(REQUERED) �I� �� Q z ICTTY OF EVERETT BUSINESS LIG.#(REQUIRED):0/40521, <br /> PRIMARY CONTACT: D OWNER BI CONTRACTOR 0 OTHER(Please Specify) ' <br /> CONTACT NAME: CONTACT PHONE: 206-731-%5 J-/' • <br /> . wlV 4l'5 6k.DW CONTACT EMAIL: DDN,4 t s. . O14)o krk-M T. &)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 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!am authorized by the owner of this property to perform the work for which application is made and t <br /> comply with the Slate Contractors Law 18.27 RCW and 296.200'WAG <br /> City ofEEverett Official Use Only <br /> FEE 67 <br /> � w <br /> 1303 <br /> PERMIT# <br /> - E \go(-k <br /> :it, / <br /> Owner/Au °rued Agent Signature Date (Revised 10/12/2016) <br />