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3385
<br /> 00004
<br /> ELECTRICAL PERMIT APPLICATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425-257-8810 ) FAX 425-257-8857 I (E)everetteps@everettwa.gov I Www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 310-4,? � , N-10
<br /> BUILDING AREA(If residential,new construction,remade,or addition) SF •
<br /> BUILDING TYPE: ❑SFR-DETACHED El SFR-ATTACHED ID DUPLEX El MULTI-FAMILY-#OF UNITS: NI COMMERCIAL
<br /> USE OF BUILDING: OE G Grief `T'r
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<br /> CONTRACT PRICE OF WORK:$ 475-0x) •
<br /> NUMBER OF DEVICES(if low voltage):
<br /> FIRE ALARM? ❑YES NJ NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: /2 /c�•4 � fl 00 5 r1 /
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<br /> frk 4) /zov A 4
<br /> A/•?-1:••• : :.. . .v �o `I'AC"i b10.0 tII ATIQ
<br /> OWNER NAME: TENANT NAME(If Commercial): pt.,)j
<br /> OWNER MAILING ADDRESS: STREET P, SOX 3707
<br /> GIN $Erre STATE i Zigg124L 2267
<br /> OWNER PHONE: ,OWNER EMAIL:
<br /> CONTRACTOR NAME: 4 ,t,,)g`,eitt• P,Snelie.rlb1t..7
<br /> CONTRACTOR ADDRESS: maser Pa eox 41 `. f4 hL�
<br /> CITY mug/L/G� STATh1/l/ 7JP90�j 2L� f
<br /> CONTRACTOR PHONE:426-2/4-4144 CONTRACTOR EMAIL: 'A-/�l. 1-}4•/f/Y1E-gt,)kilWi/1• CDS
<br /> CONTRACTOR LIC.#(REQUIRED): 6E VEg e.„4'd D Z CITY OF EVERETT BUSINESS LIC.#(REQUIRED):Q40 ..22_�
<br /> PRIMARY CONTACT: CI OWNER II CONTRACTOR El OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 206..13645449
<br /> Dighia5 L.&. )W CONTACT EMAIL: DENS 1S CieOk/a k(Evult T. d_.017,1
<br /> AGREEMENT:T hereby certify that l have read and examined this application and know the same to be true and correct Ail provisions oflew,s and ordinances governing this
<br /> type of work will be completed whether specified herein or not. The granting ofa permit does not presume to give authority to violate or cancel the provisions of any other state or
<br /> local iawragulating construction or the performance of c onsfruction. That!am authorized by the owner of tills properly to perform the work for which application is made and
<br /> comply with the State Contractors Law 18.27 RCWand 298.20d WAC.
<br /> City of Everett Official Use Only
<br /> FEE
<br /> fr)r";c5-°r' OG 0
<br /> PERMIT#
<br /> 3-3-/E - O1
<br /> Owner/Au rice.zed Agen Signature Date (Revised 10/12/2015)
<br />
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