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3/20 <br /> ELECTRICAL PIT aT APPUUC ;TISN <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)everettepsgeverettwagovl www.everettwa.gov/permits <br /> �.t.} JY�:- -__ — __.-:t:• •::Y::"$,1a.- —.:t••- - - -_ _ _ - _vT wY}K ..��......•�(Y � Y�� _ r.fr. <br /> tif <br /> gett,tire <br /> • <br /> • <br /> • <br /> i.. c'�:1:. .,.Y;:..a..,.:ai .. .. .. ..... ... ... .:asx c5w.:w- a.m.:r..a::•v:;:�.. .,..,3-..a».•.,r.,Yx,-,:., :u. �.�.....-_.,,.. ..+.••h�'�:te.•. e- .r,...�:ir. <br /> PROJECT ADDRESS: -4/0—p24 &a/41 -. ' <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF • <br /> BUILDING TYPE: El SFR-DETACHED D SFR-ATTACHED 0 DUPLEX El MULTI-FAMILY-#OF UNITS: NI COMMERCIAL <br /> USE OF BUILDING: r DE.i146 EV E T <br /> :pii+�t�,�•:A: ;ti y�err":•`: - .i7:":rnrp...• ..�:w ,�•� �.do. ..!'t:: "?z:•r•a�:•y'��.c.•::r <br /> .,:. rGTRIGAIi;:A1P P1<:1tfA; ��'y$ �y` oR111 A.,T;yOKI. ,.: f: <br /> .:>tiVa�(a'::'•.•a3:rr,P,i t..a....vs ,..5•Y..:_.•i .... ..+:r:.:eI_-n.o`F:YY�max`2Y'v.?:aa..•.n:vr.a.D'tr:�tiFaKri'•c...-/'ea�u¢n. .•,><ia,Y•+.M1*��ti vnadaa:2:�t4•..;YlI:.Ir'...:•ir-rt�iJ4•fi•:.:via ii:��••Avo+:i4•! � <br /> CONTRACT PRICE OF WORK:$ 7a1,30 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? D YES I NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 70 Pin /Il WOO 0 FD ii?i) SZ JAL._ <br /> • <br /> OWNER NAME: TENANT NAME(If Commercial): ECE/it.)6 <br /> • <br /> OWNER MAILING ADDRESS: smssr lb &2)( 3707 <br /> crn 5i-77IE STATE WA- 2pe-M122 -Z207 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: 4efie) en . <br /> CONTRACTOR ADDRESS: STREET Po iox -4/, // //��!�f <br /> cm in-4J IL7 23 STAT'EVl/� ZIP 9g20 F <br /> CONTRACTOR PHONE:426"2' 7 -49 44 1CONTRACTOR EMAIL: killed a H4 �E ki W r'� &D <br /> CONTRACTOR LIC.#(REQUIRED): aE/ f C ' a'hoz CITY OF EVERETT BUSINESS LIC.#(REQUIRED):041 <br /> PRIMARY CONTACT: 0 OWNER 13 CONTRACTOR 0 <br /> OTHER(Please Specify) <br /> CONTACT NAME: 1 CONTACT PHONE: 2 7736--654 ' <br /> 1J 1 I`J 6�-•D�/1/ CONTACT EMAIL: DEN I4 Is e.KQL)a k1.'W I T. d.O1Y1 <br /> AGREEMENT:Thereby corky 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 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 l am authorized by the owner of this properly to perform the work for which application Is made and I <br /> comply with the State Contractors Law 18.27 RCW and 298.206 WAC. <br /> City of Everett Oficial Use Only <br /> FEE <br /> • 4/1. z20 <br /> PERMIT <br /> 1 <br /> PERMIT## <br /> E <br /> OwnarAu1 or zed Agen Signature Date (Revised 10/12/2015) <br />