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. , <br /> ELECTRICAL PERMIT APPLICATION, <br /> CITY OP EVERETT PERMIT,SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425:257-8857 J (E)eyeretteps@eVerettwagov I www everettwa.govl iermits <br /> PROJECT ADDRESS: 3 Vail ) CAssaa .1 f'. leo . A a <br /> BUILDING AREA(If residential,new construction,remodel,or addition) '. SF <br /> BUILDING TYPE: 0 SFR-DETACHED: 0 SFR-ATTACHED Q DUPLEX 0 MULTI-FAMILY-#OF UNITS: %COMMERCIAL <br /> USE OF BUILDING:. 6geroto. gam <br /> .: t _ a ,X. oiTr o. * zea <br /> y <br /> GE NIRACT PRICE OF WORK:$ q 71 0. MI <br /> NUMBER OF DEVICES gr low voltage):: <br /> FIRE ALARM? CI YES .. Fl+t! <br /> i <br /> ASSOCIATED aUILDtNe P RMtT#(if applicable): 1 <br /> DESCRIPTION OF WORK: Aiip C=424.4073 /fps+ 3 tizePrititz,g-s-- 77)t3 # •+ it <br /> I <br /> ? °a^Fa°,° ',km,xfs5: Xy �t .sz��_ W � R2'Lhw' ��Y'.d 7 '��` +C k;�Jz.3 .; <br /> k ,ems ,�f u, s„` a � - -. ,,, ,< „ ".. tip�5 a. _, r.• <br /> es el <br /> OWNER NAME: a bC$t TENANT NAME(If GQrnmerclat): 0 j 6 -i r - <br /> OWNER MA <br /> AILING i;1DRESSa1 STREET 3i 3' C .M�t: it t <br /> etre ivE ` STATE, pi} X3t' 2'6 3 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME:, /20,01€ X-C. <br /> CONTRACTOR ADDRESS: erns !330 1 $ r 2 61* Q <br /> cnvIT $TATE J )16t Zip `,, <br /> CONTRACTOR PHONE: 1412-Sr ' z.' CONTRACTOR EMAIL; '11111AIS M�S6 I..''JE” (; . <br /> CONTRACTOR LIC.#(REQUIREDI lcxi'i C `tet 4,71* CITY OF EVERETT BUSINESS LIC #(REQUIRED) <br /> PRINIAI Y CONTACT: 0 OWNER 15CONT FACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: . <br /> el 1'110%01 CONTACT EMAIL:,I 11 i1 +A g) 11=04 crr 74,,fx4. ativk <br /> AtTREEMEtl•T I hereby certify that t have Lead and examined this epplleatfon and know the same to be lrue.and correct tilt provisions ofiaws and,ordinances governing this type <br /> of wortsW/tte completed whether sped,fed herein ornot The,granting of a permit does not presume to"give auihorify to violate or cancel the provfsions=of any other;state or <br /> local law;regulatfnn construction Mille perforrnandeOf construetlon, That I am authprizedbyythe owner ofthis property to perform thework for which application is made and 1 <br /> comply with the State Contractors Law ra227 RCW and 29a2co WAC. <br /> City of Everett Official Use only <br /> PERMIT <br /> 7- r'S-I ir E 1'Z.0 -i -0(0 Co : <br /> Own etherize gentSignature` Date (Revised 9/23/2016) <br />