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"illippo„ <br /> !LECTR,CA__-- PERM7 APPUCKHON <br /> 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@evereitwa.gov I www.everettwa.gov/permits <br /> :.. :. L'r PROJECT S TE INFORM T9O1i . <br /> PROJECT ADDRESS: SLo LC&LA Sr ...c,-- k T .Wim ! 1 .0/ A / aol <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED XpUPLEX, `LTI-FAMILY-#OF UNITS: ' 0 COMMERCIAL <br /> USE OF BUILDING: 6 <br /> -:..i:::.::: :-... :-7.: .. ..;•; .... <br /> . , .. . . . •:- •�;.ELECTRICAL;�PPLil�A'EI® ItsF®� AT`I®I�� � .; <br /> CONTRACT PRICE OF WORK:$ <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: TC� ry voL& L iO c(-t rry(\ / &T a 0) <br /> : 031.1-CACI 114IF RMATI N <br /> OWNER NAME:-SUET ftlAS 1 IVt , ENAN T NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 5 I' i COQ, / 1 v f <br /> f crit - STATE Wit ZIP 11� I <br /> 'OWNER PHONE: ?' 1"�_ I#1 OWNER EMAIL: un niks3a eV '• O1Z{ <br /> CONTRACTOR NAME: 1 A , t � , <br /> CONTRACTOR ADDRESS: STRE ,S, -J \sir. PL Sc <br /> any STATE '/\J/ - <br /> CONTRACTOR PHONE. ,S--33 . .iiptiACONTRACTOR EMAIL 'SO ..l r AI._R .L '17rvif-C-vwti <br /> CONTRACTOR LIC.#(REQUIRED):? 10iiek a c I Lica t4 Le CITY OF EVERETT BUSINESS LIC.#(REQUIRED) r�%`U rJ f 4 <br /> PRIMARY CONTACT: D OWNER NTRACTOR 0 OTHER(Please Specify) <br /> CONTACTf -NAME: CONTACT PHONE: 3 — as-1_30p) <br /> 1.42 <br /> v u to("i ALL=t D� CONTACT EMAIL: `y "06CMSUSW\` aNin <br /> AGREEMENT.-T hereby certify that I 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 1 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 /> ''750__Q--,4 <br /> PERMIT# <br /> ----dr\11\- ,► <br />