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CITY OF EVERETT PERIVII VICES <br />3200 CEDAR STREET, EVERETT, WA 98209 <br />(P) 425-257-8810 1 FAX 425-257-8857 j (E) everetteps@everattwa.gov j WWW.evereitwa.govlpermits <br />PROJECT ADDRESS: f3LOL <br />BUILDING AREA (if residential, new construction, remodel, or addition) SF <br />BUILDING TYPE: 0 SFR-DETACHED CI SFR ATTACHED 0 DUPLEX 0MULTI-FAMILY - # OF UNITS: �] COMMERCIAL <br />USE OF BUILDING: c - - I u 'n <br />i 43�t '% I(C ldt Y'9.Yvl .t>:.rc <br />i[. _ S.a:,b-,:.:P.:"•l�-"s Risitaa __ :1i ti5.`L.-:w'i: �":a.v:'s.:'.`0:..2�;ti — <br />GONTRACT PRICE OF WORK.- $ 3. fo 11 o 0 <br />NUMBER OF DEVICES (if low Volt'age)x <br />FIRE ALARM? ❑ YES 0 NO <br />ASSOGIATED BUILDING PERMIT 4 Cif applicable): <br />DEWUPTION•OF WORK: 1 n 5 t , w f <br />_ `'.. .. - �CO;�iT`:ACT� Ihi)F01�MAT[©Id-' ` - --- . - t • - _ - - - - --- _ - <br />NAM TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: <br />STREET O 0qq � <br />(� , Cc.. o n. ye-2' <br />My t � GfC-1'� <br />STATE H/ ZP� <br />OWNER PHONE' <br />OWNER EMAIL• <br />CONTRACTOR NAME: <br />_ <br />CONTRAGTOR ADDRESS: <br />STREET <br />T P r <br />crrY ✓�-t.� <br />A STATE ZP � 0 <br />CONTRACTOR PHONE: <br />GONTRAGTOR LIC. #(REQUIRED)-. <br />j — (o C1 O CCONTRACTOR EMAIL: <br />e Ca�_l_•t_U_6 t_ -% S% CI Y OF EVERETT BUSINESS LIG. #(REQUIRED). C� 4 b <br />PRIMARY CONTACT: ❑ OWNER <br />JXCONTRAGTOR <br />0 OTHER (Please Specify) <br />CONTACT NAME: <br />n v <br />CONTACT PHONE: s 5� 0 Cy <br />CONTACT EMAIL: <br />c rza � tl%. <br />AGREEMENT- Thereby certify that t 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 wlil be completed whetherspecified herein ornot. The granting of a permit does not presume to give authority to violate or cancel the provisions of any otherstate or <br />local iawregulating construction orthe performance of construction. That 1 am authorized bythe owner of this propertyto perform the work forwhich application is made and t <br />complywith the State Contractors Law 18.27RCWand 296.200 WAC. <br />C't fEvere tt Official Use Only <br />r y o <br />FEE <br />PERMIT# <br />w % �(at ►(a <br />o vner/AutfiorizedAgentSignaattu�re Date <br />(Revised 1011212015) <br />