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<br /> ELECTRICAL PERMIT APPLICATION I '
<br /> - CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERE 1 t,WA 98201
<br /> (P) 425.2578810 1 FAX 425-257-8857 1 (E)everetteps@everettwa.gov j www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 349 7 e/ e,0 65K.,ea fU 7=9
<br /> BUILDING AREA(If residential,new construction,remodel,o�ddition) SF
<br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR ATTACHED ❑DUPLEX El MULTI-FAMILY-#OF UNITS: jil COMMERCIAL
<br /> USE OP BUILDING: j Q ' G EV I 1 f
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<br /> CONTRACT PRICE OF WORK:$ ,000
<br /> NUMBER OF DEVICES(if low voltage):
<br /> FIRE ALARM? El YES J NO
<br /> ASSOCIATED BUILDING PERMIT#(If applicable):
<br /> pppl/U�= � ��liicablee):: �
<br /> DESCRIPTION OF WORK: C iJ
<br /> •
<br /> 1/452P/17 .1171Z1/4)0000
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<br /> . . . . _. ... - ... o>iTAit�tN^ait7uAT>toti .: _
<br /> OWNER NAME: TENANT NAME(If Commercial): BCERJes,
<br /> OWNER MAILING ADDRESS: MEM' pp sox 3707 -
<br /> On? 5 ►TGA" STATE Wn Ec1 g/2q 2267
<br /> OWNER PHONE: OWNER EMAIL:
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<br /> CONTRACTOR NAME: gelO;; }&. &'x.)5neue,roio
<br /> CONTRACTOR ADDRESS: STREET Po Lox 41,0
<br /> CITY mIL7' t, SrATE/ if kzp lg Z,u
<br /> •
<br /> CONTRACTOR PHONE:426'294-6144 CONTRACTOR k ef. AtAl E./COPWIT. CDin
<br /> CONTRACTOR IC.#(REQUIRED): 6EA 6C 14.02
<br /> .tea JCITY OF EVERETT BUSKS LIC.#(REQUIRED):01105M
<br /> PRIMARY CONTACT: CI OWNER El CONTRACTOR ❑OTHER(Please Specify) /l_
<br /> CONTACT NAME: CONTACT PHONE: 2q�-736--654 p
<br /> D6M15 CONTACT EMAIL: DEA/t1!S.e.,e.okJ® KI 'V►/'1 J', L�QTY!
<br /> AGREEMENT:Thereby cert*that!have read and examined this application endknowthe same to be hue and correct All provisions of laws and ordinances governing this
<br /> type of work will be completed whether specified herein ornot The granting of a permit does not presume to give authority to violate or cancel the provisions of any others/ate or
<br /> local law regulating construction or the performance of construction. That I em authorized by the owner ofthis properly to perform the work for which application is made and t
<br /> comply with the State Contractors Law 18.27RCINand 298.20 WAC.
<br /> City of Everett Official Use Only
<br /> FEE ji (
<br /> IO-47 /90
<br /> 6,,z, '/'/y^(7 PERMIT#E o
<br /> Owner A or zed Agen Signature Date (Revised 1(/12/2015)
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