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r-� OLECT .ICAL PERMIT 4PUGATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 (E) everefteps@everettwa.gov www.everettwa-gov1permits <br /> j <br /> [PROJECT ADDRESS: (0 6 C— FL1-9-r42-"U- MCI <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING NBUILDING: <br /> TYPE: 0 SFR-DETACHED 11 SFR-ATTACHED El DUPLEX [I MULTI-FAMILY-#OF UNITS: 'V-COMMERCIAL <br /> U <br /> USE OF BUILDING: <br /> 41NFORWO <br /> L <br /> -gjCWAPPLII. <br /> CONTRACT PRICE OF WORK-$ 7-0 )0 0 <br /> NUMBER OF DEVICES (if low voltage). -- <br /> FIRE <br /> FIRE ALARM? [I YES <br /> ASSOCIATED BUILDING PERMIT#(if applicable): (-O(p 03 <br /> DESCRIPTION-OF WORK: DeWC:;----'eY-/.5( <br /> cc A LP L-12 Lt <br /> co <br /> (?WNEP, TENANT <br /> (xj I NAME(I.f Commercial): <br /> S (7- <br /> OWNER MAILING ADDRESS: STREET ftA <br /> MY STATE ('AA 7JP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: ( e c�r <br /> CONTRACTOR ADDRESS: STREET '4 <br /> CRY 4—e l l STATE AP <br /> CONTRACTOR PHONE: J _5-Cf CONTRACTOR EMAIL: ec- , -L <br /> CONTRACTOR LIC.#(REQUIRED)." ICITY*OF EVERETT BUSINESS LIG.#(REQUIRED)- <br /> PRIMARY 11 CONTACT: OWNER CONTRACTOR El OTHER(Please Specify)y) <br /> L' � <br /> CONTACT NAME"E_ <br /> GONTAGTPHONE: <br /> CONTACT EMAIL: e. <br /> AGREEMIEINAIT.•Thereby certify that 1h veread andexamined this application and know the same.-be true and correct All provisions of laws and ordinances governing this <br /> type of work will be completed whether specified herein ornot The granting of a permit does not pras <br /> presume to give authority to violate orcancel the provisions of any other state or <br /> local law regulating construction orthe performance of construction. That I am authorized by the owner of this property to perform the work far which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. City of Everett official Use Only <br /> FEE <br /> 12150 <br /> PERIT# <br /> E � �'D ( - _� <br /> 0 VWMn 0 uthorized Agent Ygnature Date (Revised 10112J2015) <br />