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LECTRK:1AL PERMIT <br /> : CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.govlpermits <br /> :: <br /> PROJECT ADDRESS:-,s 4CL L t ✓V t " ( IbLD <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: klQ'MMERCIAL <br /> USE OF BUILDING: c2)v 1 1 -__S <br /> .•:: ..;.. ; :.. : ::;..:°.: .` ELECTRICALAPPLICATION INFORMATION : :;: :: :;: <br /> CONTRACT PRICE OF WORK:$ (DD <br /> NUMBER OF DEVICES(if low volta.e): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: �1 0 ►. .moi <br /> t'YN S L33 t C TX ) PA <br /> G - ) '9rte <br /> INFOltMVMATI' N <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: smesr <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: (.J <br /> CONTRACTOR ADDRESS: STREET 53 3I t <br /> Cn r JI STATE WA-- ZIP 3 a �v <br /> CONTRACTOR PHONE9-33'1— ' ( 0 CONTRACTOR EMAIL: 11;7 � <br /> CONTRACTOR LIC.#(REQU►RED) 4� �� LQ�(p CITY OF EVERETT BUSINESS LIG.#(REQUIRED $1 <br /> PRIMARY CONTACT: El OWNER NTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME:` ' CONTACT PHONE:L-td 3� ]i <br /> "bp <br /> II�U11/19•0 � CONTACT EMAIL: AAv c� AA MA (AjyvN. <br /> AGREEMENT:T hereby certify that t 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 lam authorized by the owner of this property to perform the work for which application is made and <br /> comply with the State Contractors Law 18.27RCW and 296200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 1 °a-so <br /> PERMIT# <br /> E 6ap r� <br />