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/14,12.9Z!.3 <br /> F'b�;.S° <br /> ELECTRICAL PE i-IIT APPLICA11•N ; <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 j FAX 425-257-8857 j (E)everetteps@everettwa.gov j www.everettwa•gov/permits <br /> PROJECT ADDRESS: <br /> BUILDING AREA Of residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX b MULTI-FAMILY-#OF UNITS: NJ COMMERCIAL <br /> USI~OF BUILDING: jO� �G EV Se f 1 <br /> ,ai: .•i?is:`F: '4'�ILr�.'. w)', n- �j _ •r-. •r::-• : �.• :'1�� „�;.$a� •;rl,• <br /> . _ _ ,_�..-;aT� ��, ..�'�� "li'10 �.N., .�tI�111.,..T90N•• .;.,,'�`.•�..... <br /> ,.... ..... ,c.. .... .. .n::.....•.... .. •::�<.1..,.a44.viYt•�.d.A�Nn.{•••a�..: t•..; iv.: -.q...- .n tt'L'., .. .e,. ...._.. <br /> CONTRACT PRICE OF WORK:$ t19 4ae) ' <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? El YES IgJ NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK• r 'u:: = �4-" F �• <br /> • <br /> ;:::,. • <br /> - ,. ,CO�"�A�C 1NinOR'IIATION: ,•. <br /> OWNER NAME: TENANT NAME(if Commercial): ht..)Ln <br /> OWNER MAILING ADDRESS: SIREEr F/ &'X 3707 <br /> ciTY .5E7`r~T Lam' STATE VV/If z / /2'/-2207 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: £ k)ffMZ- (_'f t15T440 <br /> j2 7717A <br /> CONTRACTOR ADDRESS, sumeryyp,OQ�/Lr LOX 4f a p Lam/ <br /> arY Int IG�� STAT/! ZIP'qg2 nL <br /> CONTRACTOR PHONE:426-2/4,49Y"��jJ� �r CONTRACTOR EMAIL: kA'/Q1. HifinmEr ?ki w'r, dzyn <br /> CONTRACTOR LIC.#(REQUIRED): L,Sg,VeF( t. U 0 Z CITY OF EVERETT BUSINESS LIC.#(REQUIRED):040 <br /> . ...,..rr �.av,vw,*+M1n.�v.r.na r.rt r.«........a...a....,....,,n-.• . „vr...................a....a�..a...�e,.m.•n•. -y5,•...,•w..='..•..+u-,W-nv.w...:..,.mvww.-wwn•.•'...*.(&.rrw...�.,»w• ...a <br /> PRIMARY CONTACT: ❑OWNER 13:1 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 204,-7 3 <br /> D6/01i5 (-&d W CONTACT EMAIL: J IS e_gOw a ME-weir.T. £o/M <br /> AGREEMENT:T hereby certify that I 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 I am authorized by the ownerof this property to perform the work for which application Is made and! <br /> comply with the State Contractors Law 18.27 RCW and 298.206 WAC <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> AIL AJ 11/ <br /> Owner Au or zed Agen Signature Date (Revised 10112/206) <br />