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tLECTRICAL PERMIT AALLICAT ON <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@everettwa.gov I www.everettwa.govlpermits <br /> `PROJECT ADDRESS: 7.2..I.`Q e 1 tile !4v ' kA., ( "r <br /> 'BUILDING AREA(if residential,new construction,remodel,or addition) Ot SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX .MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL <br /> ;USE OF BUILDING: � c 0i^t/ L, <br /> . . .: :.. akei l .Ab.�LAPPUUcATI+ m gNF.Riiiikri _.::. <br /> CONTRACT PRICE OF WORK:$ ( ®� <br /> NUMBER OF DEVICES(if low voltage):< <br /> FIRE ALARM? 0 YES ,E1-1\10 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): /� <br /> DESCRIPTION OF WORK: j2.eyiA O C)t' (..w t., ( I <br /> a <br /> • : -•... //: ._.. ; , :CONT�#C`I':INFORMATION-` : __. ... - :.. . .. <br /> OWNER NAME: J -iC <br /> t.) .- V lx,3 L TENANT NAME(If Commercial): ---- <br /> OWNER <br /> -^OWNER MAILING ADDRESS: STREET <br /> MY <br /> ,,. , ..,. . . ., <. _. .. .. .. S. . . .. ... .. ... . . ....,,,. <. ., .. . STATE .. , .. . . .. .ZIP <br /> OWNER PHONE: L � �'�3 OWNER EMAIL:JQbJ LAJ Ar� //1 AtiOrt L.C..0 <br /> .KeN, <br /> CONTRACTOR NAME: A-06 .JF- tri- ,S <br /> \L1 (c� •2,i.l C— <br /> CONTRACTOR ADDRESS: STREET ? > •^^aoy .et�P <br /> 4-2-<- <br /> (� CITY vV V I �f J 1�S -/��STATE fr ZIP T&C� <br /> CONTRACTOR PHONE: `i 2 77C ft p CONTRACTOR EMAIL:je rC- 1M�kuos 1 L€ 'r;L 'etu cow\ <br /> CONTRACTOR LIC.#(REQUIRED) / t rU,Sc'y bZ.�„D CITY OF EVERETT BUSINESS LIC.#(REQUIRED):� i <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> NTACT NAME: CONTACT PHONE: "2.4 (4,j(i. -- g t g-- (9:i.CJefF t--1-o4&,A•.4CONTACT EMAIL: 3 m Wt (l',>5; -e?-eZ iv„,cG.C,j,,„.•, <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 t 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 /> PERMIT# <br /> 0 17 t ••o 3'[O3 <br /> I of orized Agent Signature ate (Revised 10/12/2015) <br />