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Nov. 9. 2016` 3 : 20PM So,'^r Security Ini, :, (L PERMIT „I, imp Lic,No. 1180!`.' P. 1/1 <br /> CITY OF EVERETT PERMIT S_ VICES <br /> ' 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I wwVv-everettwa-gov/permits <br /> PROJECT ADDRESS; . 1 l L.4 _ <br /> BUILDING AREA(if residential, new construction, remodel, or addition) ___-__SF <br /> BUILDING TYPE: LI SFR-DETACHED IA SFR-ATTACHED El DUPLEX L7 MULTI-FAMILY-#OF UNITS: OMMERCIAL <br /> USE OF BUILDING: &LJ A.-- / 111 4 1 <br /> CEO R11 AICAIlbi LIdifiTe® i 1NFOROAT OI{ --- -- - <br /> CONTRACT PRICE OF WORK$ . <br /> NUMBER OF DEVICES (If low voltage): ' _ <br /> FIRE ALARM? U YES V 0 <br /> ASSOCIATED BUILDING PERMIT#(if applicable): /I <br /> DESCRIPTION OF WORK: - ftdlLal eyo .F I Mu) V"b l 7 <br /> J <br /> 1 <br /> . CO4 'TACT;is-E0, iII A-0;;N - <br /> /NER NAME: L-1--(Ci, . TENANT NAME(If Commercial): (1 C-- <br /> OWNERMAILING ADDRESS: STREET <br /> CITY 3 U STATE Zip <br /> OWNER PHONE; `f✓OWNER EMAIL: Y <br /> CONTRACTOR NAME: T <br /> __ v J[�"17 i � D /fLc CONTRACTOR ADDRESS: STREET 0 of I �)I'te <br /> r/ a, <br /> AI <br /> CITY V I .•A. STATE A A zIP 4 2 <br /> 01 f <br /> CONTRACTOR PHONt Z 2S 8 3(0.55 • CONTRACTOR EMAIL: b i -( ? SQ111-fro I p cze4(-icy c jl'] <br /> CONTRACTOR LIC.#(REQUIRED): ,SAN r[f cl - L--7 CITY OF EVERETT BUSINESS LIC.r#(RErQUIRED): OP-7.2 <br /> ..�-�.. ..�..y�,,. ,,..,: -s �...i_t.,ri•.=.71Ae,,..a.,.o,�e.....i...._„�.,.--...:�a..,._..,�,.,�'---�-..........a�,4.y�,..-..x�,.....,-.,. <br /> PRIMARY CONTACT: C1 OWNER CONTRACTOR Cl OTHER(Please Specify) <br /> CONTACT , LME: CONTACT PHONE: C-} 5 — do / rQ25 <br /> _ )� , CONTACT EMAIL: 11 Lei-A SQn.'frr 1 0/ ., . . ! —. <br /> AGREEMENT t hereby certify IN have read and examined this application and know the same to be true end correct All provisions of I:ws end 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 orthe performance of construction- That I am authorized by the owner'of this property to perform the work for which application is made end 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 /> S <br /> / i -snracco <br /> PERMIT## <br /> O ) 1 ii&E____ . 1 00 . r, <br /> Owner/Author9:yed Agent ` gnstur D to (Revised 10/12/2015) <br />