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/IP <br /> LE TRI AL PERMIT.AP ['CATION <br /> CITY OF EVERETT •PERMIT SER•VICES <br /> .3200 CEDAR STREET; EVERETT WA 98201 <br /> (P)425-257-88 Q I FAX 425-257-8857 I (E)everettepsQ0vorettWa.gov 1 wWw.everettwealoviperrnits <br /> PROJECT'ADDRFSS 332 SW.Everett Mail Way, Everett,WA 980211 <br /> BUILDING AREA(if residential,new construction,remodel,or addition)#•QQO SF <br /> BUILDING TYPE: El SFR-DETACHED D SFR-ATTAAHED CI DUPLEX' Cl MULTI-FAMILY'-#'OF UNITS;. 0 COMMERCIAL <br /> USE QF BUILDING: Office Space. <br /> , k ! e 3 ...: ;i•,s ,peri ,. ' {.� A t "-, rP <br /> 2:04 ,,mr,';. a ii l .. a� �O <br /> CONTRACT WORK:$ 1.QOG <br /> NUMBER.OF DEVICES.(if low voltage)' <br /> FIRE ALARM? D YES •E l•NO` <br /> ASSOCIATED BUILDING ,PERMIT (if applicable): <br /> DESCRIPTION OF WORK :Provide and install(4)receptacles and().electrical circuit <br /> QI IER NAME:National(ser ial Insurance TENANT NAME(If commercial): National;General Insurance <br /> G►1r ti`R;MAtLING ADDRESS: sra r'332`SW Everett Mall:Way, <br /> oto Everettgum wa 21.-98244. <br /> OWNER RHONE: 949:544.6855 .QWNER MAIL:traoy.siler. n ic.com <br /> CONTRACTOR NAMES Than Electric Inc; <br /> CONTRACTOR ADDRESS; s iEtx 1;2$ 8 otil Way, Suite 205: <br /> CITY Beilarue STATE,WA xis 98005: <br /> CONTRACTOR PHONE: 206,833.2811 CONTRACTOR EMAIL: frontdesi!@IItarieleCtric.net <br /> CONTRACTOR'.LIC.,#(RECIVIRED): TitafEI963OB CITY CF avENErreustNess LIC.#(REQUIRED): 081191 <br /> PRIMARY oNTAC T Cl avitNE.R ®CONTRACTOR El QTHERYa(Pleaso ep tfy); <br /> ONTACT.NAME: CONTACT'PHON <br /> • <br /> CE 425 $431'; <br /> Jonathan asborne CONTACT:EMA1LLL jonathano( tltaneieetrle pet <br /> AGREEMENT:,1 hereby certifythat I haste read and.examined this application:and knowthe same'to be truewndcorreCt; All provisions of laws and ordinances goy yarning this type: <br /> of workwlff be completed whether specified herein or not They+stung•at:apermifddes zotpreeurne#cgA'eeptforitytoviolate,orcanoeltheprovisionsofanyofherstateor <br /> love 1 lawregulating cons uction or the perfonrmnse of construction. That t il atithorke t by the owner of this property to perform dhe workfor which application is made end t <br /> comply wittuthe State Confractors Law 18.27 RCW-and 286,200 ili4C <br /> COO EterattOf#itate 4,4e:tniy' <br /> PERMIT# <br /> OwnedAut d Agent signature Date. (Reviserd'9122/2916} <br />