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04/'25/2006 05: 21 25328826 GARNER ELECTRI6 PAGE 13/16 <br /> rt�i_,IF_rinrRMAL FERWr AIPPUGAflON <br /> CITY OF CVEPETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, 1A/A 98201 <br /> (P)425-257-8810 1 FAX 425-267-8867 1 (E) everetteps@evereiftwa.gov Xniww.everetfwa,gov/permits <br /> IA <br /> FtO;J1�+>a'T SA'Y'S 11400A111�A"T10N ,. <br /> PROJECT ADDRESS: <br /> BUR-DING AREA(if re:Identlal, new r,.onstructlon, remodel, or addition) SF <br /> BUILDING TYPE: KsFR,DETACHED U SFR-AYT'ACHED CI DUPLEX ❑ MULTI-FAMII.Y-#OP UNITS: ❑ COMBAERCIAI_ <br /> USE OF BUILDING: <br /> rMItCTAWAIL AOLOCI, 19Nd. <br /> CONTRACT PRICE OF VVORK: $ 2w) , o� <br /> NUM13FR OF DEVICES if low volts 4 <br /> FIRE ALARMA? ID YES �.NO <br /> ASSOCIATED HUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: M. <br /> CONTACT 106IRMAT10N <br /> _ / S� TENANT NAME If <br /> OWNER NAME: j� COnnmercial <br /> p1?E <br /> OWNER MAILING ADS, STREET i r —LP <br /> ciT'v >`,/U a <br /> STATE I 11r zP qlgw�; <br /> OWNER PHONE: OVVNER EMAIL; <br /> CONTRACTOR NAME: I y ��F_�; k <br /> CONTRACTOR ADDRESS: STREr_T <br /> ciTr r STATE ziP <br /> CONTRACTOR PHONE: 3 � � CONTRACTOR EMAIL: � � '� Cw co <br /> CONTRACTOR LIC.#(REOUIREU)_ u <br /> - ' CITY OF CVERETT BUSINESS LIC.#(REQUIRCo): z <br /> PRIMARY.... __. r ... . .......... .. .. �,.,..H .. ..�:.�,,......_ <br /> CONTACT; ElW <br /> ONER CONTRACTOR ElOT FR Measc Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: r <br /> C <br /> AGREEMENT.'Thereby COrtify that I have read and examined this applloalion and lrnow mo same to be flue and corrcct. All provisions of laws and ardJnancos govorning this <br /> typF of WOrh will be r ipp/otcd Whethorspecifiad herein or not. The granitng of a permit does not presume to glvo authorlty to Wo/ate or ren rel the ptnvls/ons of any other state or <br /> /ocal IaW rogu/acing construction or the performance of construction, Thet/am author/zed by the owner of this propolly to parform the work for which app/loatlon Is made and/ <br /> comply with the State Contractors f_aW 98.27 RCN/and 296.200 WAC. <br /> City of Everetf Offlrinl Ilse Only <br /> PEE <br /> PERIE IIMIT it <br /> Owner/Authorized Agrnt.Slgr atUre Dalc (Rev/sed 10/12/2015) <br />