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�r 3262 <br /> ELECTRICAL PE MIT APPLICATION <br /> • .- CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE 1 1,WA 98201 <br /> (P)425-257-8810 J FAX 425-257-8857 I (E)everetteps@everettwa.gov J www.everettwa.gov/permits <br /> PROJECT ADDRESS: t7 . <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: El SFR-DETACHED EI SFf2 ATTACHED ©DUPLEX LI MULTI-FAMILY-#OF UNITS: NI COMMERCIAL <br /> use OFEuILDING; ,OE ISG EV E T' <br /> y+7�,'�`$•�';{�'"si S•'�'S'l.M;.,...: •:P_.:• ;:a.�a..�}ar,..,•..,•,w•...w. ..r_•a••.v.,_s., uv.. ..1�.:.?r•. •E�r•„ ynx•:rry�t.4._g'.»C...� }. <br /> �•- ��,• yyy �+47".j+�{•�•.� •LAp�+)L��yA'�"�0�_�+�{y���.ORiV1,q,T�OY��`�,� -.'';_ .:!• -.�t,.,; ; <br /> ,:>Cee...... .:.y.:ii a...,.z.i.., i... .... ,.., ...�7.':r� .re•ltmr..+.eZL�:MZ.�eu a•t.. r�nt,.v.a 3.aT•c....1'q?G•.tin••.«•og:a;•.....S inn.::.!;....::ta•r�:c.::•.v.�`ir:reLt:•.P.:.r:.:;ti:'1w";i..L•�:,.;.tQ� , <br /> CONTRACT PRICE OF WORK:$ 9f/o 700 • <br /> NUMBER OF DEVICES(if low voltage):. <br /> FIRE ALARM? El YES X NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: "7.2,D�/ /3/ w f Z,9O-1 1/2 <br /> ztv 5r • <br /> • <br /> :: _... .. ;• okst oso... NFbR.14,[ATIOI�[:''' • <br /> . . .. .' . .. . :.. _.. .. <br /> OWNER NAME: TENANT NAME(If Commercial): 1tt-)lj <br /> OWNER MAILING ADDRESS: STREET po Box 3707 <br /> CnY b5EAITLE STATE IA* ZFPg46/2 .22°7 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: (,}eiverjett, epp ,ri2ue.,-7 04) <br /> CONTRACTOR ADDRESS: STREET Po Box 44' t,Q <br /> �7CI Y`1 JI Jag/GT722 STAT•ENV�( �7 ZIP/g2404 <br /> CONTRACTOR PHONE:426"294 4944 41CONTRACTOR EMAIL: kg-R./. Howy).E.41 kl wl�'. GOi <br /> CONTRACTOR LIC,#(REQUIRED): 6Eiy �'C'c.114/ .n._e ,zCTTY OF EVERETT BUSINESS LIC,#(REQUIRED):QUI�rj <br /> PRIMARY CONTACT: ❑OWNER El CONTRACTOR El OTHER(Please Specify) • <br /> CONTACT NAME: p CONTACT PHONE: 2t6-7336--t/(J5,1-49 �1 <br /> IDgNJ,1t5 eIpdW CONTACT EMAIL: p INjs,t'Ie.OL)® ki 'v1/ir. dory) <br /> AGREEMENT'thereby certify that l 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 a permit does not presume to gibe authorityto violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 298.208 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> 4350 <br /> PERMIT# <br /> AI. E R,O4 5 <br /> Owner/Au or zed Agen Signature Date (Revised 10/12/2015) <br />