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1926 oafAboof!„.., <br /> X98 <br /> ELECTRICAL PEI''MIT APPUUCATIIN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 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 /> .1Ft'r`7'iAS 'Y `IIS .o TO <br /> PROJECT ADDRESS: / ` I . j /Ye <br /> BUILDING AREA(if residential,new construction, rerno Air or addition) SF <br /> BUILDING TYPE: ©SFR-DETACHED 0 SFR-ATTACHED <br /> �.❑DUPLEX El MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: MDer/4G •�/ p 1 1 <br /> :. .-. .'r...: .:• .. - •• :i:'.� •.:1,'.�-,:.4 rL:.r'x�4�JKYcro\tF_-h., .1.......--fOM*.0 ,.ti01.-....1 .90.i.=.�_... <br /> CONTRACT PRICE OF WORK:$ 17/3/55 000 <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? ❑YES Al NO <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: an_ 337 /49- ba 9J-7 &(//�� <br /> • <br /> • <br /> : COTACT'INFORIV1AT'1ON •.. _ • <br /> • . + <br /> OWNER NAME: TENANT NAME(If Commercial): L-//l}6 <br /> OWNER MAILING ADDRESS: sweet fl7 & x 5707 <br /> erre Lr!1 l 1 �� STATE VIM 210812'/-22O7 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: JE "L <br /> CONTRACTOR ADDRESS: STREET Po i3ox 4/, <br /> cm, 17)1 /L7 ) STATE ,* 5P9$2Z4 <br /> CONTRACTOR PHONE:426-214-6144 CONTRACTOR EMAIL: *AM�r/��kit•itifi�", CQ/}r} <br /> CONTRACTOR LIC.#(REQUIRED); 6ENEgC f`'1D z CITY OF EVERETT BUSINESS LIC.#(REQUIRED):01/05q1 <br /> .,.-.-.w ,a., .-. .,,....- _ ,a.... .... ..,w...-a+S•y4t. .t�v - ..-.*a,4 u+xn..-,tiw•.,r.•,-.. ......,.....v. . s,wgww,.. ..r.+.w.. ,... <br /> PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 2 -73 b-654(. <br /> . DEAN/5 E-&){q/ CONTACT EMAIL: DENA1S.C.KoItl(d kik-my, L. M <br /> AGREEMENT:T hereby certify that!have read and examined this application and know the same to be true end 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!am authorized by the owner of this property to perform the work for which application Is made and l <br /> comply with the State Contractors Law 18.27 ROW end 298.208 WAG. <br /> City of Everett Official Use Only <br /> FEE <br /> 174 5log- <br /> PERMIT# <br /> -/7 E <br /> Owner Au orized Agent Signature Data (Revised 10/12/2016) <br />