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<br /> ACTRICAL PERMIT APACAT CITY OF EVERETT PERMIT SERVICES 'N
<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.gov/permits
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<br /> PROJECT ADDRESS: qtvi I •�J kl
<br /> I BUILDING AREA(if residential,new construction, remodel,or addition) I e.))i(/)ha I SF
<br /> BUILDING TYPE: iVFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: 0 COMMERCIAL
<br /> USE OF BUILDING:
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<br /> CONTRACT PRICE OF WORK:$GOO
<br /> NUMBER OF DEVICES (if low vo age):
<br /> FIRE ALARM? ❑YES 0 •
<br /> ASSOCIATED BUILDING PERMIT • • -•plicable):
<br /> DESCRIPTION OF WORK: `l Ye, O ld \,q11,61.
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<br /> OWNER NAME: (�t � wr--
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<br /> TENANT NAME(If Commercial):
<br /> OWNER MAILING ADDR�SS: STR Tk J 0
<br /> CITY afe'/ /� /} STAT /'� /� �i�- ZIP4 9
<br /> OWNER PHONE: 14157- - '1 . .u. OWNER EMAIL:C1o► I 0116 'arri aV, J a rwy—
<br /> CONTRACTOR NAME: VIIAo Ft2'tar/ 1.P- u
<br /> CONTRACTOR ADDRESS: STREET'?I ;6 67,0441 ( f('?i) 4b I
<br /> CITY WW1.
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<br /> CONTRACTOR PHONE: 9 A 1 I _� L:T CONTRACTOR EMAIL: 1*Oh I/ {�-e-p1� (o ,,',
<br /> CONTRACTOR LIC.#(REQUIRED) Li i FF , CITY OF EVERETT BUSINESS LIC.#(REQUIRED) eb-z�QQ
<br /> PRIMARY CONTACT: 0 OWNER NTRACTOR 0 OTHER(Please Specify)
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<br /> COlkirCT NAME: CONTACT PHONE:I/Z51,-2-2 1 a
<br /> rut A /f /a .-, CONTACT EMAIL:1144' (7I( / �ingie/ �l - j wl
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<br /> AGREEMENT.T hereby certify that!have ::d and e fined this application and know the same to be true nd 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 lam 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
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<br /> PERMIT#
<br /> . - ve l/ 6 .
<br /> � E `SO2 -05
<br /> • • /. •• -••yr• ..la,; •n. re / Date i (Revised 10/12/2015)
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