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r <br /> ,_-ir CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE I I, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> . J ECT:. IT I FO ATIO@J:: :: <br /> PROJECT ADDRESS: C 0 0 i i / '- 01 <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE:*FR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: )2,61)Afi UV L <br /> .. . . .... . . .:. .. . ;.:.: ':ELECT'RICAL:;APPLICATION INFORMATION: .: .::.: . <br /> CONTRACT PRICE OF WORK:$ V{(''`" -" <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: ` f V J 1'fe! 016-10 4, 'lith* -bl lrf ( htvii'" NAP <br /> j7, <br /> i tiO <br /> NGONrACT INFOItMATI.ON <br /> OWNER NAME: IA� <br /> n l�. TENANT NAME(If Commercial): <br /> -,, f <br /> OWNER MAILING ADDRESS: STREET D t/ &J)0141 ,1 H <br /> CITY l/1STATE ZIP 01 Dail <br /> OWNER PHONE: 1 35 -- t pp 1 ( OWNER EMAIL: F--f)HDD JJ/• GtIVw'L,CArn 111 <br /> CONTRACTOR NAME: hey <br /> t �}1�,� <br /> (955 <br /> / M' <br /> CONTRACTOR ADDRESS: `"""`���' STREET � I 7)14- /WC 1S1; <br /> COY STATE w ZIP 1 baps <br /> ) <br /> CONTRACTOR PHONE: 4 3 CONTRACTOR EMAIL YY V IVB V <br /> CONTRACTOR LIC.#(REQUIRED) ,PIi/10 L/a,IL LI CITY OF EVERETT BUSINESS LIC.#(REQUIRED)9 3j 7L f <br /> PRIMARY CONTACT: 0 OWNER 7cONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: �^ In�-y/ _ CONTACT PHONE: 5 -'6 -'}tea.()al <br /> NIA) I i I(/1' )1 ?J CONTACT EMAIL: I\Yf I^f l".Y Jr ) /,yli l/AYZZA.. " / M 1 <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!am authorized by the owner of this property to perform the work for which application is made and! <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> ._....._.. . <br /> PERMIT# <br />