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04,125/2006 05: 21 2532882156 GARNER ELECTRIC PAGE 03116 <br /> 0 • <br /> O# <br /> L <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P) 425-257-8810 1 FA)(425-257-8867 I (P-) evere'ttepsQeverctbAla.gov J vl/m.everett iva,gov(permits <br /> OR'OU) OT NT dNl blI �M1II�#TIC3A�I <br /> PROJECT ADDRESS: J.^ <br /> BUILDING AREA(If residential, now constructlon, remodel, or addition) SF <br /> BUILDING TYPE: 9&SFR-DETA0H/=D ❑SFR-ATTACHED ❑ DUPLEX ❑ MULT[-FAMfI-Y-v,OF UNITS: IJ coMMCRCIAL <br /> USE Or BUILDING: <br /> F-L a ik. II AL � ��.�ac �rAit �I� b d A aaii <br /> CONTRACT PRICE OF WORK: $ !20D , CQ <br /> NUMBER OF DEVICES If low voltage): <br /> FIDE ALARM? ❑YIES X1 NO <br /> ASSOCIATEID BUILDING PFRMIT# if applicable): <br /> DFSCR;PTION OF WORK, -_lwdD <br /> CONTACT INFORMATION <br /> OWNER NAME: pfmTENANT NAME(If Commercial): <br /> OWNER.MAILING ADDRE S: sTRFeT �I F. S S" 'Su 4 ? <br /> CITY t y ,� �,f�� .� 27ATF VJ Y' ZIP G <br /> OWNER PHONE: - 4._ (o-3311 <br /> OWNER EMAIL: <br /> .� d... ... .._ . <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: S71REF7Alai, AAA 'Sul-10P <br /> Cl- A-w-r ZIP V . <br /> CONTRACTOR PRONE: - . - - CONTRACTOR EMAIL: <br /> CITY OF EVERETT BUSINESS LIC, <br /> CONTRACTOR LIC. )�EQUIRCb <br /> QUIRED <br /> t#RE <br /> PRIMARY CONTACT: ©OWNER KCONT RACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> r <br /> 9 x CONTACT EMAIL: -\A P�✓ � � � <br /> AGREEMENT.-Thereby rertlry that l have read and exam/ned MIS app/kation and know the same to be true and correct All provlslw7s ollaws and ordfnapces governing this <br /> typo Of wofl!will be completed whether specified horoln or not The granting of a permit does not presume to.rylve euthorfty to v/olate or canr P1 f/7e provisions of any other state or <br /> local law reryutat/ng Construction or thG performance of(wstmcfion. 'r/79t I air iuthorized by the owner of thfs property to perform the wgrk for which application is made and I <br /> comply with the StWc ContriCtOrs Law 90.27 f2CW end 29G.200 WAC. <br /> City of F-varaft Official Uso Only <br /> FrE <br /> PERMIT# <br /> 0-nu/Authorized Agent Signature DetC (RCvlsod 10/92/7.015) <br />