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=026- 11.3o .oi/ ' <br /> "Tt-A‘. <br /> ELECTRICAL PERIL` APPLICATION <br /> '41V41111116; - CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425257-8857 ( (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> '^.'.'. �.,'.">.. I�x�- ��I����.��gaa■w�A.Rt.��..® A�II O,N'iT:•: <br /> {;.i..r...1 .`+1:.. .»..x..�}'... .. • ... :. ...rl:.r.'..+ .. .• rt�f it4.r4-'..Q�: IJ.Si•\.•.T.i•L`...V.4t.. Y•.L�r•r.r{.t.:.TTSYr'i-. 3v. .. .�.....x. v� . <br /> PROJECT ADDRESS: ® . �? ( ,2W e-/ <br /> BUILDING AREA(If residential,new construction,remodel,ocddition) SF ' <br /> BUILDING TYPE: EI SFR-DETACHED 0 SFR-ATTACHED 1l DUPLEX El MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: ,Oe. EVV • <br /> +vE):^•. :�:}>,:.;�.p. ..rr4 oy;-:. ...-r....;...�.:..aea'�.a••..•..-:ra.,••:„.._.+_,..�..+.•-r....�-•,.,. .r.. r,�7.,. �.Fgc.rn:•ro��.j ti��•' ' <br /> . �.• TRt10 LI- )P 0 1110 M OR.• 11.0: .:: <br /> <..a ,.. ti.. .. .. .. .. ....��... .�...I.ntee4.<'XI.S•:`.YtRVt..K.ur. a.....tr� ..f.••_.J.�:•.ri,•:ri••I..r 4: aYt•. rr ..4 t'•... <br /> CONTRACT PRICE OF WORK:$ 460494,2 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES $J NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): ,//,, <br /> DESCRIPTION OF WORK: p'r �. i �e� ..�Y'(.�I.s0, <br /> • <br /> OWNER NAME: TENANT NAME(If Commercial): BCE/106 <br /> OWNER MAILING ADDRESS: smiaEr PaEttox 3707 <br /> ctiv b5EAI LE STATE 141- zipgg2J 22O7 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: �. )))jet's,, epp5 eue T/D,0 <br /> CONTRACTOR ADDRESS: STREET PO Box 41p i a <br /> cm( 11-7-E2.7 11-7-E2.7sTATEIYI 1 ziPgs'204 <br /> CONTRACTOR PHONE:425-2.94 614 CONTRACTOR EMAIL: i4y21. H4inmE'Ei®f l��r1fi7”, Com <br /> CONTRACTOR LIC.#(REQUIRED): t EEiV C `jj`/OZ CITY OF EVERETT BUSINESS LIC.#(REQUIRED):04052/ <br /> .,v....-+r,ww.-,.*..nmv�'.. r.e..w.,........+....�.r.•.n�.........w..rntrn •..a.. Y- .r.w..,+xr.�....w......> rwv. r......«.......�...r..+�.v5..r�w Taut.....--�. •...,n..-...C.w�..rw..=...:._:,..... ....r <br /> PRIMARY CONTACT: El OWNER 51 CONTRACTOR El OTHER(Please Specify) <br /> CONTACT NAME: / CONTACT PHONE: 20�-736--654-t:: <br /> . 161 J 1415 1 pQ.V W CONTACT EMAIL: DE JI!S.Cl .OW 0 KIEV]T. d.0/Y1 <br /> AGREEMENT:Thereby certify that I have read and examined this application and know the somata be hue and correct. All provisions of laws and ordinances governing this <br /> We 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 lam 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 298.200 WAC. <br /> City of Everett Official Use Only <br /> FEE; <br /> et/99 <br /> PERMIT# <br /> :d.. A / 4 a., �,� E 1,(60C9— 0-15 <br /> OwneriAu i or ed Agen Signature Date (Revised 10/12/2015) <br />