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Pz. '5--gs,a,00 :30/3- <br /> ELECT' MAL <br /> 013- <br /> ELEC '' MAL PE('MI C *PPLICATION <br /> 44,r CITY OF EVERETT PERMIT SERVICES <br /> V 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 <br /> ,'1r •1.��p�.:,.;. ..� mss`:®.. �{�p�+■ p� <br /> R-t.1/°I� �qy.�•'yp'�Il j �1Y//'4 Y i®.Ili <br /> •ti t• <br /> PROJECT ADDRESS: 2-41-D <br /> IZZ <br /> BUILDING AREA(if residential,new construction, remodel,or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED H SFR-ATTACHED 0 DUPLEX EI MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: OE' EV ee r <br /> - «�: <br /> ELEGTRN�AL AfR�IL-��A'`Y` ®lf�! rAIRNf 0111 <br /> _ - 1I q,T6 <br /> ::"}»a: _... F e i.'i_., ._.«_..;rtrs.r'�.%.,� a :i_;',:;:•t4�4,: <br /> CONTRACT PRICE OF WORK:$ 0o <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: r'-�/�t0 ; // /1. `¢0c , 3 .: j —/-4,166` <br /> • <br /> • <br /> • ;. .-.. . CO 'TACT_INORMATION: • . <br /> OWNER NAME: TENANT NAME(If Commercial): BCE/166 <br /> • <br /> OWNER MAILING ADDRESS: STREET f2j7gi€9X 3707 <br /> cITY .5GT-t f ��� sr/gel/V.4 sp'?g/2 -2207 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: (2-7Z Q p5TY2.uL'7 ia <br /> 8t2 � <br /> . . t r .0 . .. >.. ... Y <br /> CONTRACTOR ADDRESS: srneEr P/� X 469 A <br /> CM( mei 1t7EZj STATE/ 1` ZIPcm2o4 <br /> CONTRACTOR PHONE:426-2494-�142/ CONTRACTOR EMAIL: kii-g.). HNrimki.wfr, L'D/Y) <br /> CONTRACTOR LIC,#(REQUIRED) �N�,c'C��O D Z CITY OF EVERETT ElUSINESS LIC, #(REQUIRED^Q-lUs d <br /> PRIMARY CONTACT: ❑OWNER 1131 CONTRACTOR yEl OTHER(Please Specify) �w <br /> CONTACT NAME: �1 p �,/ CONTACT PHONE: 204,-736--[/p�154 Zp I- �f <br /> J 'J\ 15 �-� OUB CONTACT EMAIL: <br /> DEN N 1S.[-_JE=DL h1C J1T. (_OM <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be Prue 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 stale or <br /> local law regulating construction or the performance of construction. That t 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 18.27 ROW and 296.200 WAC. • <br /> City of Everett Official Use Only <br /> FEE <br /> iq <br /> PERMIT# <br /> ik/z Ei (b02- b016 <br /> Owner/Au orized Agan Signature Date (Revised 10/12/2015) <br />