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' , tLECTRICAL PERMIT A LICA 1�QON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-88571 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> •. - IESf•®JI dT SITE INF t,'iliIATI N:.. <br /> PROJECT ADDRESS: /O ii0-7 ' \trpc'- r- F-v OJA q�/?oLt <br /> 'BUILDING AREA(if residential,new construction,remodel,or addition) R'/ wcil`L( SF k'(i) <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: tr l COMMERCIAL <br /> l'USE OF BUILDING: 6 GO c-i , lod C2 <br /> .':.... .: ELEtanR.iCAL APL(IeAiI'I®N 91tdF®RMA`PQO ': ....._: <br /> CONTRACT PRiCE OF WORK:$ - l ©4, 49 <br /> NUMBER OF DEVICES(if low voltage): 6 <br /> FIRE ALARM? ❑YES '4I NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WOR° : �Gi1nf1 �� 6-q+ .Cie... b !- n <br /> L Q dCj id A) - <br /> ....; .,:: CONTACT <br /> OWNER NAME: c9 e C.b W 'r TENANT NAME(if Commercial): f)I-IS e ,cei-vi OA( <br /> OWNER MAILING ADDRESS: STREET po e©X 2-6 q <br /> `/ <br /> en, tvQirttii°� STATE Wit ZIP ,213 <br /> OWNER PHONE: 2 2I L-42-1i OWNER EMAIL: 6 [-.7f r m.se.eivi-ei i(n (.t \ <br /> CONTRACTOR NAME: Dwner (.,& <br /> CONTRACTOR ADDRESS: STREET <br /> CITY STATE ZIP <br /> CONTRACTOR PHONE: CONTRACTOR EMAiL: <br /> CONTRACTOR LIG.#(REQUIRED): CITY OF EVERETT BUSINESS LiC.#(REQUIRED): <br /> PRIMARY CONTACT: OWNER ID CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: /-1)... yt?, -42.--7-- <br /> - <br /> " t I! Vir Fil `i(Y CONTACT EMAIL: tin k—&-.C1/4 nit Se eiviC6't I, LUd1� <br /> yJ <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to b true arg 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 l am authorized by the owner of this property to perform the work for which application is made and l <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE r <br /> / /•2- <br /> PERMIT# <br /> - 3f ig F, / 363-0/( <br /> Owner/Author! .d Agent Signature Date (Revised 10/12/2015) <br />