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,-- a L T'R.ICAL PERMIT MGT A r ir-LJCAT`ION <br /> Iw . CITY OF EVERE I I PERMIT SERVICES <br /> 3200 CEDAR STREET,EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E)everetteps©everettwa.gov I www.everettwa.gov/permits <br /> PROJECT SITE kNRORMATIONI. <br /> PROJECT ADDRESS: -7 2 4 !t 0 rk St SE Eve&' ekt <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: ❑SFR-DETACHED 13 SFR-ATTACHED 0 DUPLEX ❑MULTI-FAMILY-#OF UNITS: A COMMERCIAL <br /> USE OF BUILDING: p pt- O c t,,-4, L <br /> ELECTRICAL APPLICATION INFORMATION':. <br /> CONTRACT PRICE OF WORK:$ 1 ' <br /> • <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: rZ c t [ C i i C. k t t �,2 e G-WI C CG,.,,, <br /> ,a ' (.. , r- (0 ary t �p _ <br /> r . <br /> : ... ` CONTACT INFORMATION . <br /> OWNER NAME:. -171 IA litSCYn: feio p .ill a c, TENANT NAME(If Commercial): Ike pt" of L 4 r <br /> OWNER MAIUNG ADDRESS: sTREer P0 Qz;t�`3.)C 13 0 E Cil' <br /> CITY t` G T STATE 1,, ZIP 71 { } <br /> OWNER PHONE: OWNER EMAIL S C obi"fry ( , c c-vv <br /> CONTRACTOR NAME: re:9 ti EtEciP Ve I 4:- <br /> sca .�,. .v ... ....... ...n.y..<.a ...�. <br /> CONTRACTOR ADDRESS: si r , 1 <br /> 3 <br /> CITY9 Ef r <br /> ,.�- STATE .✓ ZIP <br /> CONTRACTOR PHONE: q 7 g T47 C CONTRACTOR EMAIL: '`(,°ke.tt ch)oc 61,414t I <br /> CONTRACTOR LIC.#(REQUIRED): 0i:-3 F: . tjQr LIC #REQUIRED CITY OF EVERETT BUSINESS ) '711 <br /> . <br /> PRIMARY CONTACT: 0 OWNER ®,CONTRACTOR 0 OTHER(Please Specify) �„ w <br /> CONTACT NAME: CONTACT PHONE: Li ZS' 3 -7 g 7( S- <br /> -T-6 tics c , t <br /> CONTACT EMAIL: k1 o SC frl t l 2 c1fr1GI t,tC eout LTV 1L C T(Lt <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 em 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 286.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> /I, 2, -(247;\ E k <br /> Revise_ <br /> Sl0 - 7� <br /> Owned.uttiorized Agent Signature Date <br /> �� (Revised 10/1212015) <br />