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9z6. 3/4 3 3. /93 <br /> ELECTRICAL PE IIS "a PPLICATION <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 /> .': ..++r.. :i, :3=' "iSk ::.•..,t :t;� :•p. _ :r.....,aaw-��..:. •t= .:>• ....T..,r,,n .,..,, tFr�., <br /> ..t^•. '•� . .R•^.i+•y.1 'Iitit•. .•i�-r.;•S'••1: 4:•==S. ice. ,. .... . .ti=•....r...... ..� . .... = 5 . .:..fY.�,:...0 <br /> PROJECT ADDRESS: •aSfiiizleariig /Q <br /> BUILDING AREA(if residential,new construction,remod or addition) SF <br /> UILDINGTYPE: 0 SFR-DETACHED Q SFR-ATTACHED ❑DUPLEX El MULTI-FAMILY-#OF UNITS: Pi COMMERCIAL <br /> USE OF BUILDING: BoEx.4 , EVA �' <br /> •'� t <br /> .i Fr•3 _;.` O_ IR lqYl<® a <br /> • <br /> ;.ig•X,.t • d r.—rti <br /> CONTRACT PRICE OF WORK:$ I1-V4$f :�:.,.`-•.�:tira `� ..t :.=;,.r,=,,.•t�it. <br /> . i <br /> .0Q <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ID YES $J NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: ��J�t J i 1 z CSL• <br /> , <br /> • <br /> • <br /> OWNER NAME: TENANT NAME(if Commercial): /A.)6 <br /> OWNER MAILING ADDRESS: STREET Pa SeN 3707 <br /> cm( .5E-AIME TME STATe WA. zrrt9/2q-221)7 <br /> OWNER PHONE: OWNER EMAIL: • <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREET Po Box 44 <br /> m <br /> STAT4414. zP9g224 <br /> CONTRACTOR PHONE:426-214-4944 4 CONTRACTOREMAIL: k i-/z/. Ho'jmEg&k'/, 'wt r. cpm <br /> CONTRACTOR LIC.#(REQUIRI D): CITY OF EVERETT BUSINESS LIC..5REQUlRED):0405 <br /> PRIMARY CONTACT: ❑OWNER E CONTRACTOR ❑OTHER(Please Specify) ' <br /> CONTACT NAME:t' p �, CONTACT PHONE: 204.-736-45449 <br /> • Dg•N+4I S £.&'W) CONTACT EMAIL; DEN IS.e.A10w Y }'i w/1 T. &MI <br /> AGREEMENT:T hereby certify that!have read and examined this application and know the same to be hue and correct All provisions of laws and ordinances govemhtg this <br /> type of work wllibe completed whether specified herein or not. The granting of a permff does not presume to give authority to violate or cancel the provisions of any otherstate 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 9a27 ROW and 298t20d WAC <br /> City of Everett Official Use Only <br /> FEE40/3,15 ,./ <br /> • 3d <br /> PERMIT <br /> Owner/Au r or.zed Agen Signature Date (Revised 90/92/2096) <br />