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�-- ELECTRICAL PERMI1 13 r•'4! JrJj l� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps at@everettwa.gov 1 www,everettwa.gov/permits <br /> .. . .... _ :. :PROJECT SITE II-NNNllFte <br /> PROJECT ADDRESS: 2 / eK 6...e;2l 6 -�. U��L 7 <br /> BUILDING AREA(if residential,new construction,remo el, or addition) SF <br /> BUILDING TYPE: D SFR-DETACHED D SFR ATTACHED 0 DUPLEX 0 MULT!-FAMILY-#OF UNITS: iKCOMMERCIAL <br /> USE OF BUILDING: • <br /> ..: , T A I r R; N - <br /> CONTRACT PRICE OF WORK:$ 1ort7 <br /> NUMBER OF DEVICES(if low voltage • <br /> FIRE.ALARM? D YES ► : • <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: 2 00 A�1 P Pew S 1A '1 / wi ►�)a6 2 s[,�� � PFR�C <br /> (1`401-4 - •S3 <br /> _ .. . . ...... ti. .... .- . <br /> OWNER NAME: TENANT NAME(If Commercial): NQS, <br /> OWNER MAILING ADDRESS: STREET <br /> COY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: /UI as E l Fc t?lc St KO cE <br /> CONTRACTOR ADDRESS: smear <br /> f6U�(PEC/ <br /> qi !//g 2,9z NDSi y) B <br /> Cm, I1'� E C//tjf STATE //t/fY� ZIP 5J <br /> CONTRACTOR PHONE: 2 0,6 82 d pP 7 CONTRACTOR EMAiL: /YLU/)/ )(11-102 •eat1 <br /> CONTRACTOR LIC.#(REQUIRED): lt/I Ct(Sg S P5-9 Cg CITY OF EVERETT BUSINESS LIC.#(REQUIRED) ) 71 U 1 <br /> PRIMARY CONTACT: 0 OWNER 0 CONTRACTOR 0 OTHER(Please Specify) <br /> •CONTACT NAME: v1 �,V/ CONTACT PHONE: ?Q6 r 3 3 '2 8 9 <br /> • i <br /> Vivo 14 1(1 j2 1 1 CONTACT EMAIL: iw..(J JV( >, A-14-00 . cf14 <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 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 /> • <br /> FEE <br /> 250 <br /> PERMIT# <br /> /2/27/20/7 H P- 12 - 193 <br /> Owner/Authorized Agent Signature Date (Revised 90/92/2015) <br />