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V2925-a//—a* -27413 <br /> ELECTRICAL PE =MIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320D CEDAR STREET, EVERETT,WA 98209 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT ADDRESS: -210'071/ , // <br /> BUILDING AREA(if residential,new construction,re +del,or addition) SF <br /> BUILDING TYPE: El SFR-DETACHED El SFR-ATTACHED D DUPLEX D MULTI-FAMILY-#OF UNITS: M COMMERCIAL <br /> USE OP BUILDING: O 4 , EVERETT-T' • <br /> si.• erp%•:<--:,nv_ v.:Lz:o,.p;a i....,�,.�..:.6a.R.T.1r ..: .. a t , <br /> CONTRACT PRICE OF WORK:$ .05-1-10 -500 • <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? DYES NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): `�. <br /> DESCRIPTION OF WORK: 370 j /�i big /�A�jG�J_ <br /> • <br /> OWNER NAME: TENANT NAME(If Commercial): )/J6 <br /> OWNER MAILING ADDRESS: STREET Pb ,PDX 3707 `- 'd /� <br /> crr' $E I +�V/7 TL�� STATE nf'/g/2 2207 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREET Pa >' ©x4I /��- ,J <br /> CITY ) )1J /1.7-e--43 STATE ZIPgg20 L <br /> CONTRACTOR PHONE:426-2'94'4444 CONTRACTOR EMAIL: kit e f 4 Hit/n '1 E)e4 k, w/r, 60”.1 <br /> CONTRACTOR LIC,#(REQUIRED): agAi g . 21'7'D Z CITY OF EVERETT BUSINESS LIC.#(REQUIRED):0405 <br /> +•-tI•FMi�^v'a*-.snvwwn�.a�nswe oW tM�<u.b�+�+F4�n+uuY•r+!n i• Y s..w.n�„u,.,vu+a.,..eu,.y blrw�.er..�x.�.uP+V<wa.+�+wuuv.riry+r•.rva.+aw.uw..,w.....�n.m_.w M.w rmnnvuC.u. <br /> PRIMARY CONTACT: D OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 206-736-654 <br /> 6ieold CONTACT EMAIL: DEN .P.ow® Kia-Mr. 6o/Y) <br /> AGREEMENT:T hereby certify that have read and examined this application and know the same to be true and correct Alf provisions of laws and ordinances governing this <br /> type of work wit 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/am authorized by the owner of this property to perform the work for which application is made and! <br /> comply with the State Contractors Law 18.27 ROW and 298.200 WAC. <br /> City ofEverett Official Use Only <br /> FEE <br /> 4026 <br /> 3 . 6_0 <br /> PERMIT# <br /> � i 9 <br /> -2(e. E c1 .4 11 <br /> Owner/AU orized Agen Signature Date (Revised 10/12/2015) <br />