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04/25/2006 05:21 2532882156 GARNER ELECTF PAGE 01/16 <br /> ,'✓ter .,.,_�__.I�:; <br /> FLECTRICAIL PERMIT APDL A TI N <br /> CITY OF EVERETT PERMIT SERVICES <br /> w <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425'257-8810 I FAX 425-257-888857 ( (E) everetteps©everettwa.gov www.everett wa.gov/permits <br /> • -'`': ' )FaR'CiJl'w`'' A ` 0lilil; `!r 'C (I : <br /> PROJECT ADDRESS: 1 2- <br /> BUILDING AREA(if residential, new construction,remodel,or addition) SF <br /> BUILDING TYPE: IKSFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: U COMMERCIAL <br /> USE OF BUILDING: <br /> 4PPLIO.ATRON�.,INPiD�IV14POM:• <br /> CONTRACT PRICE OF WORK:$ 2 ° , 00 <br /> NUMBER OF DEVICES (if low voltage): <br /> - - 1 <br /> FIRE ALARM? 0 YES 'ate NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: ttl,i1 <br /> • •ONT/ CT IINFOR{{I•IA,TIr1 N , <br /> OWNER NAME:, •' ' , TENANT NAME If Commercial <br /> OWNER MAILING ADDRE S: STREET 4Q,��- ,I^ "-Y �• r t <br /> f-BCIN Irryt��..il t,.� ' hTE )hl!�"' ZIP goc6-, <br /> OWNER PHONE: r <br /> `— OIIVNER EMAIL: <br /> r" <br /> CONTRACTOR NAME: N.-10::'�.rfek', 2..Z& ' �!• )f0' <br /> CONTRACTOR ADDRESS: 8TREI T , • k' 4Q <br /> tP <br /> �^•� + <br /> CITY _I1JXLL. TATE‘At _ ZIP <br /> CONTRACTOR PHONE: s-3•- -2--C,C6 1 - CONTRACTOR EMAIL: j• • ( . r" I 4.C04A <br /> CONTRACTOR LIC.#(REQUIREb): -l a• r L� CITY OF EVERETT BUSINESS LIC.0(REQUIRED. (I J 09 <br /> __—_. .. ...714Nrweu.ny nrnra, nw•m •c=..-'/y,.r.. ......_..,.,n.,nwn.:w.,wm......r..x•n. -.._ .......-...... ....v...... W6WDCP0YKi+HUSYYi,GFRgl:VNlav:."•yPy,••_ ..a,v..-.......,•.,.,-.. .,.., ._....XI..; ... i <br /> PRIMARY CONTACT: 0 OWNER 1CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 3140 _. <br /> \: i \\ l"Ie'af.0 CONTACT EMAIE: t?�l�lf\� �P C"1 .� r��5�'Y�l <br /> AGREEMENT:T hereby cetilly that I have read and examined this application and know the same to be true and correct. All provisions of laws end ordinances governing this <br /> .... <br /> type of work will be 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 I <br /> comply with the State Contractors Law 113.27 RCW end 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> ems° <br /> PERMIT# <br /> I? q 1 , E q0o9 00q- <br /> Owner/Authorized Agent Sigh afore Dale (Revised 10/12/2015) <br />