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315.0
<br /> ELECTRICAL PERMIT APPLUCA19I N
<br /> ---- CITY OF EVERETT PERMIT SERVICES
<br /> 3200 CEDAR STREET, EVERETT,WA 98201
<br /> (P)425257-8810 J FAX 425-267-8867 J (E)everetteps@everettwa.gov J www.everettwa•gov/permits
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<br /> PROJECT ADDRESS: y1 �� l-� ' i/v "3
<br /> BUILDING AREA(if residential,new construction,remodel,or ad ition) SF
<br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED ❑DUPLEX 0 MULTI-FAMILY-#OF UNITS: 1I COMMERCIAL
<br /> USE OF BUILDING: P,tQE.lI4G EVES
<br /> y,'i?'S , t -y i a•ai- S• _.t -:to- .,w. ;..:a
<br /> rw.'.i: .. .. ..•in '...i9-1Ga•/+TxR+'a174ett„ OOqYO "., _. '; =r^ •.: :'7. 7
<br /> CONTRACT PRICE OF WORK:$ 52.9z7
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<br /> NUMBER OF DEVICES(if low voltage):
<br /> FIRE ALARM? D YES NO
<br /> ASSOCIATED BUILDING PERMIT#(if applicable):
<br /> DESCRIPTION OF WORK: D%C G•GG. -,6 &z%0,51
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<br /> n.a. H . • . .• . • CONTACT.'INlORNIAtteir :':. . .-
<br /> OWNER NAME: TENANT NAME(If Commercial): /106
<br /> OWNER MAILING ADDRESS: srssei po ,lex 57E27
<br /> CITY 5 rrLE STATE WA- Zlifig/22/2207
<br /> OWNER PHONE: OWNER EMAIL:
<br /> au . rrU •. � t•r M .-a4•r y •,.• 1 • , M +Ir e. �,••t• .h• !. • V •t .r •. r .,-• . •r , M +•• +�M• r• r. r r b ,
<br /> CONTRACTOR NAME: (' ,vErftz, el)P5 jatia T/t
<br /> CONTRACTOR ADDRESS: STREET P��OQQ(/$l)x �-r t /[� /�L�)
<br /> cITY i )L g/L (.�� sTATE�/1 LP9gZp L
<br /> CONTRACTOR PHONE:426-214-6144 CONTRACTOR EMAIL: kA-,e1 a Hit/Y1mEANk'i 'wii evfil
<br /> CONTRACTOR LIC.#(REQUIRED); �/U /e� $ D z CITY OF EVERETT EIUSINESS LIC.*REQUIRED):040 q
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<br /> PRIMARY CONTACT: D OWNER Ei CONTRACTOR I:i OTHER(Please Specify)
<br /> CONTACT NAME: CONTACT PHONE: 2 -736--65j4.40 •
<br /> •6/41415 6e,OW CONTACT EMAIL: mg N l�.eKOL1)e 1'ikvill fir. (LDm
<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 ernoL 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 argue 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 18.27RCWand 2Oe.20d WAC.
<br /> City of Everett Official Use Only
<br /> FEE
<br /> Ii' /O, 52
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<br /> PERMIT#
<br /> -/8" E Vtoq -
<br /> Owner/Au orhzed Agen Signature Date (Revised 10112/2015)
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