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Aug. 23. 2016`11 :48AM Seiin,1 Security Inc; ix, L PEINIfT A rrkLICA0. 077 1q. P. 1/1 <br /> , _ CITY OF EVERETT PERMIT ICES <br /> �'`. 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-88'10 J FAX 425-257-8857 j (E) everetteps@everettwa.gov J www,everettwa.gov/permits <br /> PROJE T ADDRESS: ,�? (^\Ve.. <br /> ---' <br /> BUILDING AREA(if residential, new construction, remodel,,or addition) SF <br /> BUILDING TYPE: Ei SFR-DETACHED ❑ SFR ATTACHED EI DUPLEX ❑ MULTI-FAMILY-#OF UNITS: 2 OMMERC1AL <br /> USE OF BUILDING: ( Jt�'c ctJJS 1 � � <br /> CONTRACT PRICE OF WORK:$ 4'_„ <br /> _______ <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? E YES __XNO . <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: kb tail . .l` !a ,_0 A t< - ' / ( • <br /> -P <br /> GO . i 11►1FO0N 4, f SON" .. .. <br /> � � , __ , � .,� FNAAIT NAME If Comm � �,: <br /> NAME: U lc;...� ( orcial): a -/As. ' 0 .� <br /> Ns=R 5Y�.��__ N�n�� � r <br /> OWNER MAILING ADDRESS: STREET _ 1 <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> _ ..,. .... -, <br /> CONTRACTOR NAME: < ___a0(21-L D Qc i'Jl�C <br /> CONTRACTOR ADDRESS: STREET baa I J rO(lJCc S i---- <br /> my <br /> my ' /y • -:410 - STATE 11,()A ZJp gY 2O I <br /> CONTRACTORPHoN1 —Z 2S 055 CONTRAACTOREMAIL; bR <br /> !I( SO(ll7ta pCtCt��C-rC0M <br /> CONTRACTOR LIC,#REQUIRED: 4Ivi3 I a q S h /JCITY OF EVERETT BIi,iSINESS LIC.#REQUIRED): - <br /> .y..- <br /> PRIMARY CONTACT: El OWNER iV CONTRACTOR EI OTHER(Please Specify) <br /> V <br /> CONTACT NAME: CONTACT PHONE: (4-ZS - •7I r 025 <br /> AGREEMENT'T hereby rtiry that I have d and examined this application and know the same to be true end correct. All provisions oft ws and 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 authorily 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 and I <br /> comply with the State Contractors Lew 1a27 RCYVand 296.200 WAC. <br /> City of Everett Ofi`lcial Use Only <br /> FEE <br /> ,- 1 PERMIT# <br /> J`. / /VIL,�' 2 // (a P )_\(�% —U-4-- <br /> .Owner/Autliorized Agent -gnature / Date (Rsvised 10/12/2015) <br />