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27/6:020 3293
<br /> ELECTRICAL PERMIT '''PP UCATIII N
<br /> - -- CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P)425-257-8810 1 FAX 425-257-8857 j (E)everetteps@everettwa.gov j www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 40- 6/,zilzhj ( ,JI_ "•'
<br /> BUILDING AREA(If residential,new construction,remodel,or tion) SF '
<br /> BUILDING TYPE: El SFR-DETACHED El SFR-ATTACHED 0 DUPLEX El MULTI-FAMILY-#OF UNITS: )4 COMMERCIAL
<br /> USE OF BUILDING: QE G EV E1 T'
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<br /> CONTRACT PRICE OF WORK:$ 1 Oae2 •
<br /> NUMBER OF DEVICES(if low voltage):
<br /> FIRE ALARM? El YES NO
<br /> ASSOCIATED BUILDING PERMIT#(If applicable): _
<br /> DESCRIPTION OF WORK: ,//f .,, 1f&) •
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<br /> FP/72//e0 J/ I 70/
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<br /> • :, GOI TA!C'7l'IN)FfOFl11AK!Q :; :�• _�^,,
<br /> OWNER NAME: TENANT NAME(If Commercial): BCE/106
<br /> OWNER MAILING ADDRESS: sinsar Po sox 3707 -
<br /> ern, .501,77--LE- • STATE W/9" ZIBIZ -'2207
<br /> OWNER PHONE: • OWNER EMAIL:
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<br /> CONTRACTOR.NAME: geA)Er f �a.)57'2ue...rod •^'
<br /> CONTRACTOR ADDRESS: srrn ar Pty Box 4/
<br /> CITY l ma/.L !.9 STATEUI/� ZIP gs2 L
<br /> CONTRACTOR PHONE:426-2944944 CONTRACTOREMAIL: k*Ie'1InI E-12® doff)
<br /> CONTRACTOR LIC.#(REQUIRED)6•EIvpse /D „� ;C1TY OF EVERETT BUSINESS+LIC.#(REQUiRED D=_
<br /> PRIMARY CONTACT: ❑OWNER ®CONTRACTOR 0 OTHER(Please Specify)
<br /> CONTACT NAME: p CONTACT PHONE: 206-736-47541p •
<br /> Dg./l114 15 e-eb tAi CONTACT EMAIL: DENA!1 e_gQl kl w/i r. (L01
<br /> AGREEMENT:Thereby certify that 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 whetherspecifted 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 orthe performance of construction. That I am authorized by the owner of this property to perforin the work for which application Is made and
<br /> comply with the State Contractors Law 18.27RCWand 298.200 WAC
<br /> City of Everett Official Use Only
<br /> FEE $ -red
<br /> y)' PERMIT# C^
<br /> -/1. -,r//// / 4.4!" .,� E L Z V(/��K/
<br /> OwnerlAuor zed Agen Signature Date (Revised 10/12/2016)
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