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_E-E 7 MICAL PEP-IIMIT AP PUC T:Okr <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 /> PROJECT.:sitE INFO TIOti:•:. ..:. :,.: ::..' . <br /> PROJECT ADDRESS:'elt <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF X2OMMERCIAL <br /> BUILDING TYPE: 0 SFR-DDEETAACHnED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: <br /> USE OF BUILDING: ��� r 1 IV v '7 A j. <br /> • � � EO1' I A1L::APP*:(C476 INFORMATION :'. :;, <br /> CONTRACT PRICE OF WORK:$ CV? <br /> NUMBER OF DEVICES(if low volta e): <br /> FIRE ALARM? 0 YES i , ■ <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: _Ar 1 I. 6. 1--�a�.% CAA/u, - � t.. A S "t <br /> S <br /> 0 A .4 .) eA 1\Y1 (=, ( 1\)4. 1ae.t- !/`[ '1 <br /> ::.. ::.,COi�TACT INFORMATION s:' .-., ,...[ <br /> OWNER NAME: V :�'rv" `.t �, u i NAM Commercial): <br /> OWNER MAILING ADDRESS: STREET I 4 QO _}�O iNj RA <br /> . CITY ► �`�"' STATE \ e ZIP 3 I <br /> 'OWNER PHONE: OWNER EMAIL: V <br /> CONTRACTOR NAME: Al4 6PC 61„ 0 UAL 1(..) <br /> 'CONTRACTOR ADDRESS: smE C)S\ -J Oct' PL SF <br /> Crl! r STATE 41117:—. Afg <br /> CONTRACTOR PHONE. ,,Ste-33 • IiPttPICONTRACTOR EMAIL .s► •_l ' O\► R .IL 4 w <br /> C4)411/1 i <br /> CONTRACTOR LIC.#(R —EQUIRED): KA D 'L 14 LP CITY OF EVERETT BUSINESS LIC.#(REQUI- D) 1y1 L. <br /> PRIMARY CONTACT: 9 OWNER ,NTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE:44an- 33']_30r2)Lp <br /> J tit LA C /Alt S D 1\1 CONTACT EMAIL: Avyy1 Ilh p, erOCCAAS i r r ` COM <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 am 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 RCW and 296.200 WAC_ <br /> City of Everett Official Use Only <br /> FEE <br /> CpCo . 50 <br /> PERMIT# <br /> ------d\f\- <br /> 11141 E kZCP - o5) <br />