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i�~ ._ PLECTRICAPERMIT _ <br /> .14Y/---4 <br /> N. :'7d - CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.govlpermits <br /> : 'PROJECT SITES 1 F R ATION:: . <br /> 11141712111111111111 <br /> PROJECT ADDRESS: 0 17 AO A /t A .1 ��'��' <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: MMERCIAL <br /> USE OF BUILDING: VitlirfrOVIWIttneTriU Ptint <br /> JlI A <br /> ;::,:: _ :::ELECTRICAL APPLIGAT!ON INFORMATION, : :::::::: :.;:':;:'::. ::.,:..:;:s <br /> 1 - <br /> CONTRACT PRICE OF WORK:$ <br /> NUMBER OF DEVICES(if low voltage):.11 <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: A ,Ifni A i' V haii • 1 / .44 'i <br /> i <br /> '1 Alt �l1 I�.I�ltr� I._a/ 1 h1.La�11 /4 <br /> DOCr RI <br /> 14 TZ4-4.' Will <br /> A._ /A (fit a o 5�C�o DO ie 1d thy ,. <br /> ,. :CONTAOT'IMFORMATIOR9: • . : •. <br /> OWNER NAME: vvr n-vi l l /al TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET, 1 ran 4 1 <br /> Orr 1 <br /> ir�i�a �/v G,� ` , STATEsk, � ZIP <br /> OWNER PHONE: (OWNER EMAIL: . t 1WL'�, o1 * axuwL <br /> CONTRACTOR NAME: \I' 0 G, Al /1 .Aifuog •L <br /> CONTRACTOR ADDRESS: sTReET 1 t r f .t,"" <br /> c 1 STATE WA- ZIP <br /> CONTRACTOR PHONE. =S / CONTRACTOR EMAIL: \A,0 ' A) A.Oft <br /> CONTRACTOR LIC.#(REQUIRED): /14c1/17 ,OIli 12 , w CITY OF EVERETT BUSINESS LIC.#(REQUIRED): 314 <br /> PRIMARY CONTACT: D OWNER kI TRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: <br /> CONTACT PHONE:L- 3t ./30j <br /> / 1A1n /WkN\ CONTACT EMAIL:holt,r464A-DvMAST-ppn.(livm <br /> AGREEMENT:T hereby certify that!have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <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!am authorized by the owner of this property to perform the work for which application is made and! <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> CO <br /> • <br /> PERMIT## <br />