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==-7=3LICATION <br /> LECTRIGAL PERMIT <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 FAX 425-257-8857 (E) everefteps@everettwa.gov I www.everettwa-gov1permits <br /> PROJECT ADDRESS: <br /> ve et Ley <br /> L4A <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> r— <br /> BUILDING TYPE: [I SFR-DETACHED 0 SFR-ATTACHED E7 DUPLEX Ej MULTI-FAMILY-#OF UNITS- COMMERCIAL <br /> USE <br /> USE OF BUILDING. A,\A os <br /> ......... <br /> LA BNFCR,, <br /> ELEG R APP <br /> CONTRACT PRICE OF WORK:$ <br /> NUMBER OF DEVICES (if low voltage). <br /> FIRE ALARM? 0 YES P1.40 <br /> ASSOCIATED BUILDING PERMIT#orf applicable): <br /> DESCRIPTION-OF WORK: <br /> JO e_t� <br /> C r'RT­­.A' .q'­'_"'T-" <br /> OWNER OW N E R N A M fiN, TENANT NAME(if Commercial): <br /> OWNER <br /> WNER MAILING ADDRESS: STREET <br /> CITY STALE ZIP <br /> OWNER PHONE: IOWNER EMAIL: <br /> CONTRACTOR NAME: ._)e17L <br /> CONTRACTOR ADDRESS: STREET /q q-,(2 1�2Z <br /> CITY JA),210d <br /> CONTRACTOR 271 71 GONTRACCTOR STATE ZIP <br /> EMAIL: <br /> CONTRACTOR LIC.#(REQUIRED): CITY OF EVERETT BUSINESS LIC. <br /> PRIMARY CONTACT: El OWNER )KCONTRACTOR 11 OTHER(Please Specify) <br /> CONT GT AME.- CONTACT PHONE: k�2 f)- 2-73— -71 -7 <br /> A A4 <br /> ;u; 56/f CONTACT EMAIL: 4;46 <br /> AGREEMENT Thereby ceifflythat I have read and examined this application and know the same to be true and come c.—All provisions oflaws and ordinances goveming this <br /> type of work will be completed whetherspecirled herein ornot. The granting of permit does not presume to give authority to violate or cancel the provisions of any other state of <br /> local jawregulaang construction orthe performance ofcoristruction. That I am authorized by the owner ofthis property to perform the work forwhich application is made and I <br /> comply with the state Contractors Law 18.27 RCW and 296.200 WAC. City ofEvereft official Use Only <br /> FEE <br /> Ito <br /> PERM�0IT# <br /> OuvnerlAutfiorized Agent Signature Dafe E <br /> 10/ 15) <br /> (Revised 12120 <br />