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22925-27/2 .0as 3111 <br /> IELECTRICALPERMIITAPPUCAfl.N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 ( (E)everetteps tx@everettwa.gov j www.eveteftwagov/permits <br /> Jif- +:�:. Si>'.. --- yq •:i:9 •�_- .:p. - - ,C.:._-: :..sty,-�„,;. .�, _ .{. -�r�. :::i- -- - -- - <br /> • <br /> ...14� Mt.. .l1Wi+...Tc:RV. .. ........r...._. ..� r..�l i...� <br /> PROJECT ADDRESS: 17 7t �-j//12 ..." <br /> BUILDING AREA(If residential,new construction,remodel,or ddition) SF • <br /> BUILDING TYPE: 0 SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX C7 MULTI-FAMILY••#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: 0E1' RVE, z-n- <br /> ,. .'7. A r- t Y'sl,n -n• .4'•• _ •i:iarp¢ v..y:. �.�:. oJa- r.Yi-:s.p�.w� - .•j:`: -..rf. . <br /> ��:•!. rye;,::• <br /> :xib..in%'..intik:«.__.•_..,.........h..... .:i�•.:�el�S,ril.vi.+4:Yfd:Ny-i.+...Yr�.[...i::Y•�•r.'T: `�-fl: ii4rvr•..:.•.l+n:•:..a,..S!•i•.:.�...:....ta:>.4'f::.tt:.,;�..•.•ti...ii1:45.:...ii.falF••i::y..i.:.(b�. I <br /> CONTRACT PRICE OF WORK:$ 5g Tao <br /> • <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES PI NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: eAddiZ41YZO A, . <br /> I/11-/ .rd i fe . 9,49 _ <br /> • <br /> • <br /> OWNER NAME: TENANT NAME(If Commercial): BCE-#.)6 <br /> )6 <br /> OWNER MAILING ADDRESS: STREETerr? e5 1 <br /> E.R 3.&AC 707 • /4 �{ � <br /> CrLSTATE y4/ s g/2 ff"2207 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: 4e/Ve , <br /> CONTRACTOR ADDRESS: STREET PQ cox 4/ <br /> OITY STAfTE,1/1/� ZIP 9g'.2f L <br /> • <br /> CONTRACTOR PHONE:426-2J4-4g44 CONTRACTOR EMAIL: kill-RI. t7}�i'}ifiEj1etvki -w//r• CD/Y) <br /> CONTRACTOR LIC.#(REQUIRED): t �`V �CD Z CITY OF EVERETT BUSINESS LIC.#(REQUIRED):0405_1._ <br /> rws•.•e'�.w.....e+..r. •._->.a»..a n...ea�..w...W...•.. ... Mr_ 1. .L 3i**+cw..•.•..s....ava...+.i.<r+Le•Y-X2.5^..1_ _ wnry.S.w+•w.nn.+•..wYw...e- v+r',-w+-.w+ni..+..8..w. <br /> PRIMARY CONTACT: 0 OWNER IT CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 26*-73 6-65410 <br /> . I) 1 i f 5 C&)W CONTACT EMAIL: DENN I S.CKOI4)IIi 15( VI�I7. d...O/Y1 <br /> AGREEMENT T hereby certify that I have read and examined this application and know the same fo be true and correct All provisions of laws and ordinances governing this <br /> type of work will be completed whether speckled 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!am authorized by the owner of this propertyto perform the work for which application is made and <br /> comply with the State Contractors Law 18.27RCW and 288.20d WAC <br /> City of Everett Official Use Only <br /> FEE <br /> 99.x/, 3°• <br /> PERMIT# <br /> � E2-cV/8 E (3Oa - d% <br /> owner/Au ortxed Agen Signature Date (Revised 10/12/2016) • <br />