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"VP ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.everettwa.gov/permits <br /> F Y vI \ t.. 4 r' \ti` i IAR S SI'TONIONWOR ; A\ t t B \ <br /> PROJECT ADDRESS: y 3 2D X 11 rFz.. V A-)f DQ <br /> BUILDING AREA(if residential,new construction, remodel,or addition) /7_00 SF <br /> 144 BUILDING TYPE: SFR-DETACHED FR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: /10 c) 6— <br /> ,..>, s':‘1 , , °- A <br /> ae < Ir l te / xw r/ y l , a� <br /> CONTRACT PRICE OF WORK:$ %9 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES JEN <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 200 4/v1 P 1 AV> . /)4, &___ /f-A),7) 1.4.3//Zk-- 1 S,r/t'I <br /> CONT T INFORMATION <br /> OWNER NAME: ----V SOS )t 't RA 6-1i4 TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> �J y T 72ti& F <br /> Z 0 1 - ,J 4-o"J T 1)(z2 , <br /> ,,/ <br /> CITY 1'A/ �1 I STATE f ZIP 9g 2 o 3 <br /> OWNER PHONE: 123--315- ` � JOWNER EMAIL: O A3! T Q AO t_ , C 3N`_, <br /> CONTRACTOR NAME: Reit6 LrZ 71,EyC T1Z I 4�///L//L C____ <br /> CONTRACTOR ADDRESS: STREET -T0 ,) SO / ' <br /> H2-5-' CITY 7N D(/-(v/�LS I"�' STATE �/ ZIP 7 2? <br /> CONTRACTOR PHONE: H 25- ?3O -,..s-6 6 7 CONTRACTOR EMAIL: Az Lam ' 6-4-G-4-7-4/(-- - cOJ-r c its r. 4-1T-1- <br /> CONTRACTOR <br /> F 7CONTRACTOR LIC.#(REQUIRED): 1,'./4�L fit-/4q.3 £- CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> PRIMARY CONTACT: InZWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: ills -336-..s-(. 6 7 <br /> `BKilcb j-O (2-cT) CONTACT EMAIL: 14i - X7,4- TQt C- 1 e C o,c ,S'j. <br /> AGREEMENT.:I hereby certify thatt have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type <br /> 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 I am 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 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> PERMIT# <br /> 70/5-/e E ( 10 -o(00 <br /> Owner/Authorized Agent Signature (Revised 9/23/2016) <br />