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Sep. 30. 2016= 5 : 08PM Soiinri Security Ince PER \Pill• / ''KLllWJNo. 10154 P, 1/1 <br /> _� v CITY OF EVERETT PERMIT SLi i:ICES <br /> + a. <br /> 3200 CEDAR STREET, EVERETT, WA <br /> 98201 <br /> .- :-.... . tWa <br /> (P)425-257-8810_8810 I FAX 425-257-8857 i (E) everettepsQeverettwa,gov I tivv�rw.eveverettwagovlpermits <br /> PROJECT ADDRESS; i L / <br /> ....... .. <br /> _ <br /> BUILDING AREA(if residential, new construction, remodel, or addition) . 5F <br /> Xce.0 <br /> MMRGIAL <br /> BUILDING TYPE:.H SFR-DETACHED D SFR-ATTACHED H DUPLEX H MULTI-FAMILY-#of UNITS: <br /> USE OF EUILDING: <br /> SIF a oe ;�iP>P' �d ► ' .®�1 gni ok¢tiii�►t ,.. ,. <br /> a <br /> CON7RACT <br /> PRICE OF WORK:$ _/ 5 . <br /> NUMBER OE DEVICES_cif low voltage): J <br /> FIRE ALARM? 0 YES "O <br /> ASSOCIATED BUILDING PERMIT#(if a.plicable): <br /> DESCRIPTION OF WORK: 01 , • it .'i 2 . C_ W C- I A <br /> 1777.7 ,'' ' -.- GTI 0041;10i, " .i-,',.. u:`:.:•. <br /> INER NAME: TENANT NAME(If Commercial): If ef2,11 IC?r , <br /> OWNER MAILING ADDRESS: STREET <br /> STATE zip- - <br /> cITY _ <br /> OWNER PHONE: OWNER EMAIL: _ <br /> CONTRACTOR NAME: I T"c aj <br /> E ; �O.0 i R <br /> CONTRACTOR ADDRESS: StREr � a 1 I ( ( <br /> -.s 1-- <br /> • <br /> _It� �20 STATE ZI e <br /> coNTRACTOR PHON:_ 2S8 .55 . CONTRACTOR EMA : h ' ' Son fro! 4/C41--t, <br /> C. <br /> CONTRACTOR LIC-#(REQURED): aIv Ie • �� CITY OF EVERETT,rUSINESS LIC.#(REQUIR513): 3/ <br /> _. <br /> PRIMARY CONTACT: H. OWNER CONTRACTOR El OTHER(Please Specifjy)) - <br /> CONTA, NAME: CONTACT PHONE: . 4-2.5 - #7/ -0. 5t-ii - <br /> ail <br /> 0. 5'L/i <br /> �I .L� ' CONTACT EMAIL-: • A • l _ 0!. <br /> ns of I:ws and ordinances <br /> this <br /> AGREEMENT:ol T hereby be corn le=.whether specified herethat I have mad end lnaor not this application End know the same to be true End correct All The granting of a permit does not presume to give authority to olateoor cancel the provisions of any other state or <br /> type of work p <br /> local law n=gu/atfng construction or the performance of construction. That 1 ern authorized by the owner of this property to perform the work for which application is made and <br /> comply with the State Contractors Lew 18,27 RCW and 296.200 WAC. City of Everett Official Use Only <br /> FEE <br /> S <br /> qJ3 /i <br /> PERMIT# / cY1 I \IOner/Authorized Agent -gnaturaD (Revised 70N2/2015) <br />