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Dec, 14. 2016' 3 : 55PM Security Inc'AL PERT = :E'PLIIC , 1329 NI P. 2 <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetfeps@everettwa.gov 1 www.everettwa.gov/permits <br /> PIROJEC1'SYT G1ll� �km)ATR3 <br /> PROJECT ADDRESS: -Fire)1, \!`e <br /> BUILDING AREA(if residential, new construction, remodel], or addition) SF - <br /> BUILDING TYPE:.Cl SFR-DETACHED D SFR-ATTACHED 0 DUPLEX D MULTI-FAMILY #OF UNITS: pi COMMERCIAL <br /> USE OF BUILDING: � ' r <br /> �L i5�i'R Q lay 1�P i A �,® QEF®1�➢Vi dolr4 <br /> ,.. .._- .. ..... .. ._. ..�.,.If-' ... .v.,tiri.�i.r i..:W].N.r„4M'r.ter- .:`,.'..1::'>.<,- ✓ t __.—__-__._ - .—_—_. .._,___ ... .. ,. <br /> CONTRACT PRICE OF WORK:$ _ [ 1 <br /> NUMBER OF DEVICES (if low voltage): / 0 <br /> FIRE ALARM? 0 YES a NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): _ <br /> DESCRIPTION OF WORK: LOW \O )1115e, ScJ..t <br /> �O 'Irl#CT<INFURMAT1fON <br /> INER NAME: TENANT NAME(If Commercial): S( .& <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP • <br /> OWNER PHONE; OWNER EMAIL: <br /> CONTRACTOR NAME: . f� is+ro Oe l C. <br /> CONTRACTOR ADDRESS: STREET c r JC&)1' ,Oe <br /> S <br /> c,7', <br /> .V•erSYATE ( J A r r zip Ar 20 <br /> CONTRACTOR PHONE44. 2S 3 0 5 S-71 #( <br /> CONTRACTOR EMAIL: b , ar ? 5 �.4r01 pc,{�ti c. <br /> CONTRACTOR LIC.#(REQUIRED) 1� I--le-3)4q <br /> L %481)-7 CITY OF EVERETT!BUSINESS LIC. REQUIRLl3): <br /> ..,,,_„_.._.,...�srw,,.,.�.,.,......�..•.....,.,_,.. 1 <br /> y .........._..'.-...r.-.•..,tom-t.,- ,....r-- ,...,u..-.� -r,�:v.......... Q,_ .�,. <br /> PRIMARY CONTACT: 0 OWNER i14 CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT t E: CONTACT PHONE: 042. - • j -` 5 <br /> ��� Jy` CONTACT EMAIL: A n en L_,.A/- _ ..: e <br /> AGREEMENT:T hereby certify that I have,g ad and examined this application and know the same to be tare and correct. All provisions of/=ws and ordinances governing this <br /> type of work will be completed Whether spec red herein or not_ The granting of s permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I em authorized.by the owner of this property to perfbrm the work for which application Is made and I <br /> comply with the State Contractors Lew 75.27 RCW and 296,200 WAC. <br /> Cityof Everett Official Use Only <br /> FEE <br /> PERMIT# --'- ---' <br /> J2J/ // 7 E 2 O2Owner/Authorized Agent gnature Da (Revised 10/12/2015) <br />