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CITY OF EVERETT PERNII VICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 ( FAX 425-257-8857 j (E) everefteps@everettwa.gov ] vrww.evereitwa_govlpermits <br />.M>.. - .. - ..,. <br />�y jj®$iy+pq���r�y�}gy-���gpg�ll�I, �i-:•_" <br />C�Ntl�upl�s', Two-, 11+lAFiyFt'M1 <br />A •.��YfiY�4�'6Y4H - .G.. <br />a . L <br />- <br />-:i_=. _ <br />-- - <br />PRpJEGT A�aDREss: 6 ® �4 5 � IQ � ( oZ L t v% e. <br />060, Y o --Y� <br />BUILDING AREA (if residential, new construction, remodel, or addition) SF <br />BUILDING TYPE: ❑ SFR DETACHED Ci SFR ATTACHED TI DUPLEX ❑ MULTI -FAMILY- # OF UNITS: <br />D&OMMERCIAL <br />USE OF BUILDING: A % 4-A.- .- z' <br />icy j..+., i• a.: )l�)llc Yliri�l�t�lic�)i)11� �1 `,;_, -•;::: <br />`e [.' - ns r••..r_a-y. :ac:s•;:•:�.v 5,it:r _ - .s.::::n.-...:r.•:::^:, ..,.'.v._•.t... <br />CONTRACT PRICE OF WORK' $ 3 t.t 5 . o -C> <br />NUMBER OF DEVICES (if low voltage); <br />FIRE ALARM? ❑ YES P(NO <br />ASSOCIATED BUILDING PERMIT # Cif applicable): <br />DESCRIPTION -OF WORK: . _ .7 5-1-'r,► t F6 %.j G .•- 4-0 %iI '1 Sr;,� + C i t UA <br />CONTACT <br />P.Ct.NER +tAlYt1 (3b 6-v ,r' LA- 4-TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS. <br />-.J1 �.�� <br />sTREEr o O t ✓L o <br />CITY Cr 1�L! L—I si'AlE 7JP <br />OWNER PHONE: <br />OWNER EMAIL". -- <br />' <br />CONTRACTOR NAME: S e- <br />i. Lr 1 t c <br />CONTRACTOR ADDRESS: <br />STREET <br />CITY STATE i&J A ZIP O S <br />CONTRACTOR PHONE, t{ 02 <br />I �-I CoC3 d 0 <br />CONTRACTOR EMAIL: er.r -i. \ ✓� e.Se u.w <br />CONTRACTOR LIC. #(REQUIRED)• S— GLL-t- O_C C.. C, ? `7 s `-7 CITX OF EVERETT BUSINESS LIG. #(REQUIRED). (��iC7 �t S <br />� <br />PRIMARY GONTACT: EJ OWNER <br />�CONTRACTORK LE OTHER (Please Specify) <br />CONrAGT NAME: <br />CONTACT PHONE: 96 (o 7 t 3 S O a <br />ICONTAGTEMAIL. <br />r s �_I 1 ,,L.e_✓ <br />AGREEmENT.' Thereby certify that i have read and examined this applrcatfon and know the same to be true and con ect. All provisions of laws and ordinances governing this <br />iype of work will be completed whetherspeciTied herein ornoL The granting of a permit does notpresume to give authority to violate or cancel the provisions of any other state or <br />locallawregulafing construction orthe performance ofconstruction- That I am authorized bythe nwoer-ofthis propertyto perform the work forwhich application ismade and 1 <br />comply with the State Contractors Law 18.27RCWand 296200 WAC <br />fE tf Official Use Only <br />Owner/AuiF orized Agent <br />0 1& <br />Date <br />City n vere <br />FEE <br />t <br />!� <br />� <br />F <br />ERMIT # 0 b - 0 Z 6 <br />(Revised 1011212015) <br />