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Jan 23 18 06:34a Bob Jack 15096746777 p.2 <br /> ELECTMAL PERMIT . PPUCATIIt* l <br /> CITY OF EVERE I I PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 J FAX 425-257-8857 [ (E) everetteps c©everettwa_gov( www.everettwa-gavlpermits <br /> - PROJf) CT SUTIE INF a R0.411.9.1. <br /> PROJECT ADDRESS: 14 (IC, e4"-- <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF ' <br /> BUILDING TYPE: D SFR DETACHED 0 SFR-ATTACHED El DUPLEX El MULTI-FAMILY-#OF UNITS: •) COMMERCIAL <br /> USE OF BUILDING: • <br /> --- <br /> ANNIMi <br /> 'LEL7'RI«Ac2.Ak9tIldATlltihii 8�f'IFQilMkr1<�nH <br /> CONTRACT PRICE OF WORK:$ /71916 <br /> NUMBER OF DEVICES(if low volta iej:• T" <br /> FIRE ALARM? ❑YES 'INO <br /> ASSOCIATED BUILDING PERMIT# 1 ••• .•le: <br /> DESCRIPTION OF WORK: . 'r At•! _ ,..0 '. i. . .. ,v1 f.`.iW.. • • i1.1 <br /> _ . _.. _. ' .CONTACT;ANFORMAT10N._.. • -"- .. . • <br /> .. _ . .. -: <br /> 2. <br /> OWNER NAME: ' _LA TENANT NAME(If Commercial). <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: L OWNER EMAI L: <br /> CONTRACTOR NAl1AE: M6e kik, �E 0L.. if t=. i . I <br /> CONTRACTOR ADDRESS: s1R •3c LW d' .,. C�+ . <br /> oflf. STATE Qr ZIP :. <br /> _CONTRACTOR PHONE: *Lir 1-3 5 . j, CONTRACTOR EMAIL: l'ocke 4 ,4A r et= Ci <br /> CONTRACTOR LIC................ R : <br /> #R>±Qy1RE3GITYOFEVERETC EUS1NESS LIC.#( EQUIRED) %Y t�' <br /> PRIMARY CONTACT: <br /> TACT: ,0 OWNER *ONTRACTOR0 OTHER(Please Specify) ,.�._.. ._. ._.�...n . <br /> I CONTACT NAME: ��-, CONTACT PHONE; `7 C� <br /> • imp ji, CONTACT EMAIL: <br /> AGE MENT Thereby(redly that t ham read and examined this application and know the same to be true and correct Ail provisions of laws and ordinances governing tits <br /> type of work will be completed whefherspecified herein ornol The granting of a permit doos not presume to give authority to violate orcanoe!the prov#loas of any otherslate or <br /> beet law regulating construction or MO performance of construction. That I am authorized by the owner of this property to perforin the work for which application is made and i <br /> comply with the State Contractors Lew 18.27 ROW and 2982017 WAC. <br /> City of Everett Official Use Only <br /> jillit _, z <br /> a - , <br /> FEE <br /> PERMlf <br /> E k <br /> #SC) --- t Scl j <br /> RvmerdAutho fzod Agan --,1 nature Date (Revised 10112J2015) <br />