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LLECTRIICAL PERMIT A -i=►ICATION <br /> ✓� „-�r- 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 51 'E •Ifa� ®R I`I'I N'>: '. • <br /> PROJECT ADDRESS: e 1 1 e.r- `— <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:_ 1 COMMERCIAL <br /> USE OF BUILDING: 4( "L C( If le- <br /> . APPLICATION iI.NFORMATION <br /> i <br /> CONTRACT PRICE OF WORK:$ ------ • • <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES aNO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): ] <br /> • DESCRIPTION OF WORK: few p/ , iota_ �QS-�5 i�l /� �iL7 Q <br /> 1 r•-z,5-DO Ise --�j /000 Lai �' c''- p <br /> • <br /> OWNER NAME: C.,/ p�-, vQ.yp '� TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRE S: STREET c>0Z �(it!tea I. kp BI v c II'' 1, 'y��y��,/� <br /> crry STATE W A- ZIP 9 V O3 <br /> OWNER PHONE: I`Zt.-- 500 OWNER EMAIL: 6/e,0 ria evor c,4_, Ci o l/ <br /> CONTRACTOR NAME: SQ.,C + <br /> CONTRACTOR ADDRESS: STREET <br /> on' STATE ZIP <br /> CONTRACTOR PHONE:itZS--1S7-'7 334 CONTRACTOR EMAIL: VA44,14tiiiiki 9jVQr14W ei J01- <br /> CONTRACTOR LIC.#(REQUIRED): CITY OF EVERT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: 0 OWNER ,CONTRACTOR 0 OTHER(Please 5pecify)pz�Y`-,�,._�v..�,.P..,.non..,�,..1._..�.9�..,,,:.:......,.v..,�..,�.,x,.,�,......n,.....:.-�.,..,w. <br /> CONTACT NAME: CONTACT PHONE: Z S 2,6-7-7351 qt 5 5o1 -4/S-87 <br /> V0 Mk.,4 tii N CONTACT EMAIL: v Irn <br /> AGREEMENT:T hereby certi t t 1 have read and examined this application and know the same to be true an c rrect. All provisions of laws and ordinances go ing this <br /> type of work will be complete ether specified herein or not. The granting of a permit does not presume to giv authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and l <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC <br /> City of Everett Official Use Only <br /> FEE <br /> 222 -`40 <br /> • PERMIT# <br /> ._ 06/83 F 1gQc:( - OSS <br /> uthorized Agent Signature Date (Revised 10/1212015) <br />