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ELECTRICAL PERMIT APPLICATION <br /> ki4477" ,-!TY J= EV-R=TT PERM:T SE.RVIC`3 <br /> 320D C: DAR STREET, EVERETT, tiVA 93201 <br /> D EAY 425-257-3857 -3,-� , ,3,,�,M ,`, <br /> ( { ?/.. r..p,S�,. f_._'.w3.g'Cl! [ 44',V'N,e`!c-'.f�.C.ttG'3 g;)id<{7eitl'Tii;S <br /> _ PROJECT S1Te INFORMATION """"��• <br /> ??3JECT ADDRESS. <br /> Alla <br /> 3 . . ?Ek1:.nR yPOPRINI� <br /> J , <br /> 7D <br /> JSE ^� s <br /> 1CONTRACT PRICE OF WORK: 3 ' C_..} , a' <br /> NUMBER OF DEVICES (firow v3lta e;: <br /> FIRE ALARM? Q YES ❑NO <br /> ASSOCIATED BUILDING PERMIT#(if an.olfoablet <br /> ESCRJPTfO _D ..4YOS1C ___ ... <br /> t E.r' �� <br /> am <br /> ,. •, --CONTACT 1 rO1 `r4O <br /> 7thN=R NAMEGt./p . /atl. <br /> TEU3,tiT. A1.4:3 IF mmarzia t. <br /> vFFI4ER MAILIN3 4DDRE33: ' .-z=-- ---:/_ # <br /> ! <br /> LA)p <br /> 111– <br /> grar� L/ <br /> 3L" wR:MAIL: } <br /> t=.)`4T ,.3.7) NAME: <br /> -J T'RAS;TDR AD)R.a-s3: 3.z- ' , I D, .-�.)0a.r.a r <br /> r <br /> cirr • <br /> r4 S � VP i <br /> ,TA2o i <br /> TrACT01�PHONE: a�obje�� a ?L.) <br /> CONTRACTOR EMAIL: • ...•�► <br /> � ' 1aa '� i <br /> �C1tvr i r14 <br /> ✓,0N TRACTOR'LIC,#,a�Q—ET <br /> —CITY OF EWERETT8kr51NESS LIC.t(REOtJIRED): y <br /> PRIMARY CONTACT: 0 OWNER iii CONTRACTORP <br /> ❑OTHEP,(Please Specify) <br /> CONTACT NAME: <br /> I In CONTACT PHONE: 5 a5q <br /> C� CONTACT EMAIL d, P`' C0� <br /> AGREE4.lEM.•i hereby certif./that f have ' �l � .. r` <br /> of work w1/l be completed whether speed herein Cr not The granting of a permit does not presume to give authority to violate orcance/the provisions of any other stale cr <br /> read and examined this application and know the same to be hue and correct All provisions cif laws and ordinances governing this type <br /> local law regulating construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made and 1 <br /> comply with the State Contractors Law 18.27 RCW and 296.2G0 WAC. <br /> City cf Everett C/ficlal Use Crly <br /> PE <br /> E , H. \-1 q) S <br /> 4 r r,erlAuthcrizeC Ageci tilgraiure <br /> Cate <br /> (Revised 5rr.+r.el..6r <br />