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EL C RTIC L E ER fT APPLOCAT fitN. <br /> , _,wa . :;�, CITY OF EVERETT PERMII,SERVICES <br /> - 3200 CEDAR STREET, EVERETT,WA 08201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)ever sps@evereft , ov 1 t r . ' r ttwa,t civ/ errnit <br /> -.ROJ1 C SII� `fnV A" L Y ,> <br /> PROJECT Al €RESB% i Wtr 7 Fi ''i <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> --- <br /> ‘BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED Cl DUPLEX a'of t.TI-FAMMMILY-*OF UNITS: CI COMMERCIAL <br /> use OF utt_DING.V' _._.— <br /> $ }��$pp ggd�sa _$g�;pq,p$�� p�p�� q#�/� • <br /> , <br /> ..5 +EkecTR'IlcA$a p�"LUc tl-UVEB'@57:IINFORM4a!!O 5r t: <br /> e s....r w -',�.•»-, m.�.a.. ..-®_a......._..............s......�yy. <br /> CONTRACT pRICE OF WORK:$ a — <br /> NUMBER OF DEVICES if low voltas a <br /> SIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERIVIIT#(if applicable); ... <br /> DESCRIPTION OF CORK: A a‘ , • i LIE 1" ' ' 1)Ve e STiriC4 .t " <br /> 11rA il.07.41. ' .nth/ • ► s . � 2„ � sJ � _S •as � I t" <br /> ' fiturrirfr" +Gs <br /> OWNER NAME: ' j t Et �I" I AIk I • tre r al ;t4 y-vi % <br /> OWNER MAILING ADDRESS:: MEET _ Z .r1�l.0 ; 41. <br /> ' t <br /> CITYw 71 a'et STATE A ZIP <br /> OWNER PI4ONE: OWNER EMAIL: <br /> CONTRACTOR R NAME "i /• . <br /> CONTRACTOR ADDRESS; STA i sS . <br /> CrrY =-A. w16.-� <br /> STATE A zip se <br /> CONTRACTOR PIIONE: S•--3#31-,Z, a, ,� <br /> �� CONTRACTOR"EMAIL \ 1)> 1ket4, etAA/S104. <br /> CONTRACTOR LIG.#(REQU1AELt) <br /> ' t.. 4 1..ita. . e. lav EVERETT I I I e LID, r l t it � ..ir <br /> PRIMARY CONTACT: 0 OWNER '41,0INITRACTOR 0 OTHER(Please.Specify) <br /> CONTACT NAME CONTACT PHONE: .-- 33r t 1 L <br /> *w„ ' CONTACT EMAIL ° r, L' ► ..42 <br /> AGNE tfttE1 T$"hereby cert ythat I itato read and emmined this O lon:andhno r the same ko.be true and.correct Aprovfions°Haft and arabittleas governing this <br /> type olwt»kkWitbe completed`whetherspe dherein or not ThegranthW of permit ekes not some to give afghan*to violate ortanneltAe;provisktneofany+other s Or <br /> local lawregulekhg oonstructr"on orthe petionnanceniconsttuction. Th am aull oozed bythe-owner et this properly to perforin the'cork km-which amlicatfg is inatio,and I <br /> can*withtheStateContractors:Law 18.27RCM"end298.200W4C <br /> ate ofEimerett Official Use Only. <br /> FES <br /> L'rr 1, 5 .1°%) <br /> r. <br /> PERMIT* <br />