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F e b. 17. 2017 1 : 49PM General Construction Company , AV--074 11, <br />LECTRICAL PERMIT AF.ICATI <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 426-267-8810 1 FAX 426267-8857 1 (E) everatteps@everettwa.gov I www.even <br />K T., w 0 1 a <br />ECT ADDRESS: -410 —_q --r2,6- <br />)ING AREA (if residential, now construction, ra.riF-I_ or addfflon) 6 F <br />)INGTYPE: IISPR-DETACHED EISFRATTACHED MDLJPLEX Q MULTI-rAMILY-#OF UNITS: COMMERCIAL. <br />:Y <br />PPLKW AN 0 <br />CONTRACT PRICE OF WORK: $ <br />NUM13ER OF DEVICES If low voltage), - <br />FIRE ALARM? Cl YES 74 NO <br />ASSOCIATED BUILDING PERMIT# if applicable): <br />DESCRIPTION Ole WORK1. <br />ay <br />'.(N <br />AAN wo, F r <br />OWNER NAME: TENANT NAME (If Commerclal): &)F L� <br />OWNER MAILING AMPLIESS: <br />r,r,y STATEIAR jpqgl2zl-,?207 <br />OWNER PHONE: OWNER EMAIL: <br />CONTRACTOR NAME- <br />CONTRACTOR ADDRESS: 4BOX <br />crry MlAj(4 /1-12(2 STA44* �up!qvozl <br />CONTRACTOR PHONE; 26-214-1,0144 ICONTRACTOR EMAIL, Y&M/27 E-9 if k1lF W! 7-, <br />07) <br />CONTRACTOR LIG. #(REMR51 6,EA189(2,0g140Z <br />-MERUT 8USI' <br />I CITY OF F N55S Lic. W(REQUIREO- <br />PRIMARY CONTACT: 0 OWNER M Ea CONTRACTOR V 0 OTHER (PleaSe Speoffy) <br />CONTACT NAME; <br />. -DzFAl/415- <br />CONTACT PHONE: .264-736-654-& <br />CONTACTELIAIL: Dj5N)qjg.6f-0kjj0 kIE-1411-r. <br />AGREEMENP Thereby renWfhailhavereadand examined this igpgcaffonandkfjowthesame taboLrosandooffect AllproWomWawaiandardkan=governlngthfs <br />type ofwamutibecompfeWatigiberspech7adbefolnornot. The gmngng ora p&m# does not presume to give EralbufNyto violate orcancel the provisions of any other -state or <br />That I am aulha&ed by the owner of Mbproperlyto perform the woik forwhkh applicaVon is mado and I <br />comply with the state Contractors law 18.27 RCWand296.206 WAQ <br />owned;ocrlle-d Ajenesigneiture Date <br />CiV ofiEvereff Offl&-fal Use Only <br />IFFIZ <br />O <br />PF=I?MIT* <br />E <br />(Ravlsed IW2)2016) <br />