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Aug. 25. 2(j16' 4: 4i)PM Si,,,nd Security Inc.,'AL FERMI i,i) (i1 L C/Nc, 0796) P. 1/1 <br /> • <br /> . CITY OF EVERETT PERMIT RVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov I www.evereftwa.gav/permits <br /> r . <br /> i ( 1� fO <br /> PROJECT ADDRESS: O ' 1J , C I � i C J)�`(`"C <br /> 13UJ1LD1NG AREA(if residential, new construction, remodelear addition) / SF <br /> f2 <br /> BUILDING TYPE:,LI SF -DETACHED LI SFR-ATTACHED El DUPLEX ❑MULTI-FAMILY-#OF UNITS: OMMERCIAL <br /> USE OF BUILDING: 1( ✓ 5-e I f)" --_-• •— -. �_ <br /> ' APPLIK I OON.INF 10)4, <br /> CONTRACT PRICE OF WORK:$ , 0 - <br /> NUMBER OF DEVICES (if low volt ge): Li - - <br /> FIRE ALARM? CI YES NO <br /> ASSOCIATED BUILDING PERMIT#(if a ieb e : _ - <br /> DESCRIPTION OF WORK: r1 . 0 I fir 2 �1 j _ ' s., ` A wait ,T 1 <br /> O 11�/o 1ION.. <br /> - . ' _ GUf�'XACIIF <br /> T: �. -. . . _ . :; ...- ...,. _ . <br /> NER NAME: TENANT NAME(If Commercial): , e ( j) f j <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: - <br /> <- <br /> CONTRACTOR NAME: a 0 , /, .e I C <br /> - <br /> CONTRACTORADDRESS; STREET . JP c) # I •rf1J(ct_S crry //�' <br /> V 0 ✓ STATE (A „ [CJS 3�V r <br /> • .. - • : ; CONTRACTOR EMAI b er '1 3.n i"ko>'patten c r Con'] <br /> CONTRACTOR LIG.#(REQUIRED): "Ir ' W CITY OF EVERETT BUSINESS LIC,#(R ` <br /> D): 1 <br /> EQUIRE131 <br /> iw <br /> PRIMARY • de! OWNER, i'I CONTRACTOR 0 OTHER(Please Speci ) <br /> CONTAC T �, CONTACT PHONE: 4 S ~ • / r Ap 5 3...,AO OP CONTACT EMAIL: 0 /► �� <br /> ENIMMIMII <br /> AGREMENT. T hereby certify that I have rid examined this application end know the seine to be true and coireat, A11 provisions of/-ws end ordinances governing this <br /> type of work will be completed what/lel-specified heroin 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 oonstniction or the 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 Stete Contractors Law 98.27 ROW and 286.200 WAC. <br /> City of Everett Official Use Only <br /> _. <br /> FEE -- <br /> opo <br /> ( / PERMIT#* <br /> / 4z.3/7(„), RL. T# �6 <br /> Owner/Autfiorized Agent -gnature Date (Revised 10/92/2015) <br />