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04/25/2006 05: 21 2532882156 GARNER ELECTRIC PAGE 08/16 <br /> IL.. CflR1C ]L IP IR1\11 T A PPL C TSON <br /> ':,A.�' •' ,',, �,% EVERETT PERMIT SER\/CF_ <br /> 3700 CEDCITYOEAR STREET, >r\/ERETT, WA 98S201 <br /> (P) 425-257-8810 1 FAX 425-257-8857 I (F) everetteps©everettwa.gov 1 wwnl.everetlwa.gov/permits <br /> 1PIROJEt T SNlfr ,. . <br /> ��t>FOi �IAtIN.: <br /> PROJECT ADDRESS: I qJ - jy' r <br /> 3 <br /> BUILDING AREA(If residential, new construction, remodel, or addition) SF <br /> BUILDING TYPE: f'i�SFR-DETACHED ❑ SFR-ATTACHED © DUPLEX l MULTIFAMILY-#OF UNITS; 0 COMMERCIAL <br /> USE OF BUILDING: <br /> EA.IECTR CAL.AU+.0. J AT@ON INI OR iCATObl(df:.,, <br /> CONTRACT PRICE OF WORD(: $ 2c'1 CO <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES NO <br /> 'ASSOCIATED BUILDING PERMIT# (if applicable): <br /> (DESCRIPTION OF WORK: f , 411 I) ±( VII p <br /> CONTACT INFORMATION <br /> OWNER NAME: 1:14 NIIN. NW TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS STREET ,��,�, � � h - s.., 215) <br /> CITY 2 .) id ' STATS 1 I rr'T %.iv r <br /> OWNER PHONE: '"T - sly()---4-Thrio OWNER EMAIL: <br /> VIA,eutmiim,.t.a...,.........1.,.:.r,!!.a............i....... r..,.-.r,,..,..y...,-..->(........yV. , .-.....i,,xurvm..y,l-...wi..ii. <br /> CONTRACTOR NAME: c1(�,y-1- Jaen.17-�+ <br /> CONTRACTOR ADDRESS: STREET " �,r4 ft g t), 0 . <br /> CITY '. i.P STM n ZIP <br /> CONTRACTOR PHONE: 2 3 -53-7-4-2-- (0oS-1 CONTRACTOR EMAIL: G{y.y) 10„1 ()w t 0---z>4 COM, <br /> CONTRACTORLIC,#REQUIRED): 11 ,-. CITY OF EVERETT BUSINESS LIC #(RraulRED): <br /> O rcj©c7 <br /> PRIMARY CONTACT: ❑OWNER TKCONTRACTOR 0 OTHER(Please <br /> Specify)_ _ <br /> CONTACT NAME; CONTACT PHONE; 3(„► C;Gg1 23).3 1 <br /> `r/4L_ +ALJ til <br /> CONTACT EMAIL: 3()eiry td C,���1 `CC <br /> AGI F:i14CNT•Thereby certify Mot I hove rood and examined this application and know the same to to true and correct. All provisions of lows end ordinances governing this <br /> type of work will be completed whether speclr/ed heroin or not, The granting of a permit does not presume to give authority to violate or cone/the provisions of any other state or <br /> local law regulating construction or the porformance ofconslruction. That 1 am authorized by the owner of this property to perform fhc work for which application is made and I <br /> comply with the State Contractors Lew 113,27 RCW.and 296,200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> • PERMIT# <br /> q , 1 E o , — o � ' <br /> ownnr/Authorized Agent Slgrisaire Dale (Revised 10/12/2015) <br />