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„ow _ECTRICAL PES'MIT AF SCAT ON <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.gov/permits <br /> PROJECT.;Silt INFORMATION <br /> PROJECT ADDRESS: 04:5)..... 'eu,,A- -c- A-ve_ <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: %COMMERCIAL <br /> USE OF BUILDING: T 4 (V t <br /> - ELECTRICAL APIPLMCATMON mFfmgo. ot. <br /> CONTRACT PRICE OF WORK:$ tea)e'l' • <br /> NUMBER OF DEVICES(if low voltage):, <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): N <br /> /r+ t n <br /> DESCRIPTION OF WORK: 440 AP atiov [j1 CC Vaf ,car' cL-C.`,-LL.$•�S ,61 <br /> -: . ;''''.::::0.44'.t.40110.400010.14.:::*::` .. - -: <br /> OWNER NAME: Veil+1/1 4 Ohm 1A)t qc ie r� TENANT NAME(If Commercial): Vv► <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: 1 OWNER EMAIL: <br /> CONTRACTOR NAME: �llieay El C' rf&a I Con-frac ,Ik,orgiDesttii I-6 <br /> CONTRACTOR ADDRESS: STREET /220 9 C f�- <br /> CITY hel k S1 s STATE t4/ ZIP n'2,57 <br /> CONTRACTOR PHONE: (125-76,6-2a2.5 CONTRACTOR EMAIL: . <br /> CONTRACTOR LIC.#(REQUIRED): BLUES(E(S3.2cg CITY OF EVERETT BUSINESS LIC.#(REQUIRED):OS(' 03 <br /> — <br /> PRIMARY CONTACT: L7 OWNER Ii3LCONTRACTOR_M❑OTHER(Please Specify) •'x+,ww�� <br /> CONTACT NAME: CONTACT PHONE: /2j- 766-20.5 <br /> p , CONTACT EMAIL: gl eU4y�i....LA, <br /> ie_liM 0 0 k4Ci r I/Cab.. <br /> AGRFFMENT.-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 I <br /> comply with the State Contractors Law 98.27 RCW and 206.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 4r1 2.‘519.-- <br /> PERMIT# - <br /> . 3-)3-2O/7 E fl —'57 <br /> Ownerl thorizedAgentSignature Date (Revised 90/92/2095) <br />