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08/17/201E 19: 44 4253779414 NORTHLAND ELE —C PAGE 01
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<br /> A-35 C l• O --_, .ECTRICAL PERMIT A, , LIGATION
<br /> CITY OF EVERETT PERMIT SERVICES
<br /> vii0. 3200 CEDAR STREET, EVERETT, WA 98201
<br /> (P)425-257-8810 I FAX 425-257-8857 I (E) everetteps@everettwa.gov I www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: 2 9 l lv .977,-,777 _S 1 r.,''(- ,S'',.4 i Ti, ,90 '
<br /> BUILDING AREA(if residential, new construction, remodel, or addition) ,_SF
<br /> BUILDING TYPE: ❑ SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 2E COMMERCIAL
<br /> USE OF BUILDING: r o m y E R' j'/-(_. 1'1l A i,bilt\IA- &- Ro d.J I/J6- 4 Fi yy�� M
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<br /> CONTRACT PRICE OF WORK: $ Sal SO 0
<br /> NUMBER OF DEVICES (if low voltage): I g
<br /> —
<br /> FIRE ALARM? ❑YES 0 NO
<br /> ASSOCIATED BUILDING PERMIT# ``iff�a••licable ; nn //"" p Q 1�
<br /> DE CRIPTION OF WORK: _ C/-L� S kTT_5 f O/ CtI/ti /T/
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<br /> OWNER NAME: J ei lk YS1 4/Q_jp k TENANT NAMEJIf Commercial): BIish L'La 10• glACIS
<br /> OWNER MAILING ADDRESS: STEL-- 2 / /4) 5 aTe.
<br /> CITY E lJ f /C er 77 STATE /T ZIP 9S:.7_6/
<br /> OWNER PHONE: OWNER EMAIL:
<br /> CONTRACTOR NAME: p/T1/1c / PAC-7i/C: /✓C-R'
<br /> CONTRACTOR ADDRESS: STREET /3�//y /o3 r .' 11-0:e S6 ,{/�
<br /> CITY erg' S, ` �en S STATE �(/,�' �+ ZIP 9s” _s-
<br /> CONTRACTOR PHONE: 7' 5 _ 77-15/ V (CONTRACTOR EMAIL: L//VOA. L-(&{ Qfyill' 7_, ill c J�
<br /> (' .. AMM S LIC.#(REQUIRED):
<br /> Q OWNERCITY OF EVERETT BUSINESS j
<br /> CONTRACTOR LIC.#REQ I
<br /> PRIMARY CONTACT: 0 CONTRACTOR 0 OTHER(Please Specify) _/ec i---)--/ (3r ( r,-.) ( 7 r
<br /> CONTACT NAM :yE /� / I-// CONTACT PHONE: (,L71a5) 3 `/3 — a"Z4 I� "l Li( J `
<br /> C//N ' ((if-1 Yob J CONTACT EMAIL: L/1V Q4•. LCL(oN1c ct NQ r—
<br /> ,
<br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to bo true and correct. All provisions of laws end ordinances governing this
<br /> type of work will be compietad whether specified heroin 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 em 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 1 E1.27 13CW and 296.200 WAC.
<br /> City of Everett Official Use Only
<br /> IA i A .1/, A
<br /> /7‘ PERMIT f
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<br /> A � . 8•—i -Do E I (p
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<br /> Agent ignature Dale (Rovlsod 10/12/2015)
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