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/02925 der2c;2 7v/ 536fia-
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<br /> ELECT`'ICAL PERMIT APPUUCATII•N
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,VVA 98201
<br /> (P)425-257-8810 FAX 425-257-8857 j (E) everetteps@everettwa.gov www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 10 res'7 d�vAimi. diti7 9
<br /> BUILDING AREA(if residential,new construction,remodel,or a on) SF •
<br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFRt ATTrACHHEDD ❑DUPLEX El MULTI-FAMILY-#OF UNITS: COMMERCIAL
<br /> USE OF BUILDING: J QE. G E ige .[ 1
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<br /> CONTRACT PRICE OF WORK:$ J- 000 •
<br /> NUMBER OF DEVICES(if low voltage):.
<br /> FIRE ALARM? El YES 14 NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: t`�G 9 1 c /241e...93./..22;10,-
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<br /> OWNER NAME: TENANT NAME(If Commercial): BCE/A.)6
<br /> OWNER MAILING ADDRESS: STREET pia sox 3707 •
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<br /> OWNER PHONE: OWNER EMAIL:
<br /> CONTRACTOR NAME: d0E- "_„ ej:0577e,1J(.:r0i0
<br /> CONTRACTOR ADDRESS: MEET Pa $0X 440.
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<br /> CONTRACTOR PHONE:426j'2��/4-/944 CONTRACTOR EMAIL: MR. IMAM Eg00) , w,ii &?m
<br /> CONTRACTOR LIC.#(REQUIRED): (��N�/eD Z CITY OF EVERETT BUSINESS LTC.#E(REQUIRED):0405:35
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<br /> PRIMARY CONTACT: Q OWNER 14 CONTRACTOR CI OTHER(Please Specify)
<br /> CONTACT NAME: p CONTACT PHONE: 204.-73 b--6544; •
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<br /> pg•J i 5 Ceb� CONTACT EMAIL: DE j i .e.izot kIEwr 1 T. 601y)
<br /> AGREEMENT:T hereby certify that l have read and examined this application and knowthe same to he true and correct All provlstons of laws and ordinances governing this
<br /> type of work wUihe completed whether specified 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 I am authorized by the owner of this property to perform the work for which application is made and l
<br /> comply with the State Contractors Law 18.27 RCWand 296.20d WAC.
<br /> City of Everett Official Use Only
<br /> FEE
<br /> • 325
<br /> PERMIT#
<br /> E W$0C) -c 9
<br /> OwnerlAu or zed Agan Signature Date (Revised 10/1212015)
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