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04/25/2006 05: 21 252882156 GARNER ELECTRIC PAGE 06/16 CITY OF EVERCTT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 08201 (P) 425-257-8810 FA)(425-257-8857 (E) everetteps@everettwa.gov I wvwi.cverettwa,gov/permIts PROJECT Ar)DRESS: BUILDING AREA if residential, new construction, remodel,or addition)—__ _ SF BUILDING TYPE, XSFR-DETACI-IED ©SF'R-ATTACHED Q DUPLEX 0 MULTf-FAMILY-#OF UNITS; ❑ COMM[ USE OF BUILDING: TRONANIF'" -ION CONTRACT PRICE OF WORK: $ NUMBER OF DEVICES if low voila e : FIRE ALARM? (i YES ':K NO ASSOCIATED BUILDING RERRAIT# if applicable): OLSCRIPTION OF WORK: � OWNER NAME; ?W ,a / TENANT NAME If Commerclal): OWNER MAILING ADDRE S' STReET `' _ �� CITY I �' e v`J ' sTATF ),IJ 71P r OWNER PHONE: - OWNER EMAIL: CONTRALTO.... R NAME: CONTRACTOR ADDRESS: r oTRFFY J SS r orrY 1 '� R7ATe 9, 1 �" ZIP CONTRACTOR PHONE: 2CONTRACTOR EMAIL: � r� `(q) OSA- e(!o CONTRACTOR LIC,#(REQUfRI;D): LFyll L -v— CITY OF EVERETT BUSINESS LIC,#(REOUIRED): , p PRIMARY CONTACT: 0 OWNER CONTRACTOR ❑OTHER(Please Specl fy) CONTACT NAME: CONTACT PHONE; r CONTACT EMAIL: FlCRt;Elvr!n1T'T 17ereby certify that I have read 9nd examined thls 9ppllcation and Ia10W Iho sone to be five and rorrert. All provisions of laws and ordinances governing this type of vmrk will be completed whether sperlfled herein or not. The gianOng of a permit does not presume to give authorlty to vlolate or cancel the provisions of any other state or local law-grdlaling construction or the performance of constarctlon. Th,9t/aln authorized by the owner of this pmperty to perform the work for which appllcatlon is made and/ Comply with the.Salto Contractors Law 18.27 RCW end 2,06.200 WAC- City of Everoll Offlclal Usc Only FEE ,:IS ,CC-) ' 1 _ PERMI�11� E (oC c Owner/Authorfzed Agent Slgiial,une Data (Revised 10/17,/2015)