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140,29.75-"noi4cw. <br />ELECTRICAL PERMIT �PPL,IC.AtTION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 426257-8810 1 FAX 425257-8857 1 (E) everetteps@everettwa.gov I www.everefta.govlpermits <br />PROJECT ADDRESS: Ing <br />BUILDING AREA (if residential, now construction= remcoor addition) SF <br />BUILDING TYPE: EISFR-DETACHED EISFR-ATTACHED ODUPLEX 0 MULTI -FAMILY -#OF UNITS: COMMERCIAL <br />IUSE 05 BUILDING. F201-e'al& RvEeETr <br />!T <br />.1 ro <br />CONTRACT PRICE OF WORK: $ <br />NUMBER OF DEVICES if low voltage). <br />FIRE ALARM? 0 YES ]g NO <br />ASSOCIATED BUILDING PERMIT # (Upplicable ): <br />DESCRIPTION OF WORK: <br />61�� 96 <br />0?557 <br />W <br />OWNER NAME: TENANT NAME If Commercial): <br />OWNER MAILING ADDRESS: /�2 <br />CITY STATE'Aht ziR91241- <br />22,07 <br />OWNER PHONE: OWNER EMAIL: <br />CONTRACTOR NAME: <br />CONTRACTOR ADDRESS, MRW Pig ;Box -41 <br />crry ITA;AA* ZIP <br />2 <br />CONTRACTOR PHONE.# - 6 - g <br />26-2,94-1044 ICONTRACTOR EMAIL: AffiMEgfk4FWlr. <br />e <br />CONTRACTOR LIC. #(REQUlREU:&6A/8,C 94OZ <br />CITY OF: EVERETT BUSINESS LIC. #LREQUIRF-U: <br />0!252 <br />PRIMARY CONTACT: Cl OWNER N CONTRACTOR n OTHER (Please Specify) <br />CONTACT NAME; 6 <br />8DW <br />CONTACT PHONE: <br />CONTACTEMAIL: <br />AGPEEMENT; TheiebycerW that I have read and examined this applicatfon and know1he same to be true and correct Allproviskmsofta w.and ord6tances govemIng thla <br />type of warkwYlbe cmplefedwhedierspeaftclherein or not The granting of a permit does not presume to give authority to violate or cancel the provisions of any otherstate or <br />locallawregulating oonsftxffonorftperformance ofmobudbn. That lam auffiarkedby the owner of this property to perform the work for whkh appikatlon is made and <br />comply vdth the State Contractors Law 18.27 ROW and 298.200 WAG. <br />Z <br />owrlar,A�u Wzed A6ontlft4 <br />nature Date <br />City of Everett offlcMl Use Only <br />FEE <br />PERMIT <br />E 11D-OH <br />(Revised 1011212016) <br />