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3416 24TH ST 2017-10-26
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3416 24TH ST 2017-10-26
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Last modified
10/26/2017 8:12:36 AM
Creation date
10/26/2017 8:12:34 AM
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Address Document
Street Name
24TH ST
Street Number
3416
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4-7 <br /> EL � L PERMIT APPUCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 J FAX 425-257-8857 J (E)everetteps@everettwa.gov J www.everettwa.gov/permits <br /> PRo.I>_cT ADDRESS: -f-I Evereff qg-k-cl <br /> BUILDING AREA(if residential,new construction,remodel,or additian) sr <br /> BUILDING TYPE;'?SFR-DETACHED 11 SFR-ATTACHED Ll DUPLEX C7 MULTI-FAMILY-#OF UNITS; ❑COMMERCIAL <br /> USE OF BUILDING. <br /> kE6Ci'I�tt L AIPPLI]CATOO- dLi11=OR�VI¢►'t�® <br /> CONTRACT PRICE OF WORK: <br /> NUMBER OF DEVICES (if low v !ta e <br /> FIRE ALARM? ®SES p <br /> ASSOCIATED BUILDING PERMIT# if applicable): <br /> DESCRIPTION OF WORK: � ��L��c � � �; -2 A%)1 i(iv1 <br /> . ... - <br /> CO)�7'ACT 11p��ID�f1ATM_t�N' • . . . " . . •;`° <br /> WNER NAME"'` c L TENANT NAME If Commercial): <br /> OWNER MAILING ADDRESS: MEET <br /> cmr STATS C 7JP t <br /> OWNER PHONE: 0 7. 6 7 OWNER EMAIL: <br /> CONTRACTOR NAME: 1+11�141! O, w p.td.`R 11"t, di <br /> CONTRACTOR ADDRESS: STRser Pt� <br /> cay - . <br /> STATE <br /> CONTRACTOR PHONE; O° - j` 7 .; <br /> CITY OF EVERETT BUSINESS LIC. E . <br /> CONTRACTOR LIC.#(REQUIRED RUIRED7 <br /> , d <br /> PRIMARY CONTACT: ❑OWNER gCONTRACTOR U OTHER(Please Specify) <br /> CONTACT NAME, CONTACT PHONE; <br /> 60 Sc H CONTACT EMAIL; � + � ec f rt t.(Vif- <br /> AGREEMENT.Thereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this <br /> typo of work Wil be completed whether specified herein ornot. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of construction. That I am authorized by the ownerof this property to perform the work forwhich application is made and I <br /> comply with the State Contractors Law 18.27 RC W and 298.200 WAG. <br /> City of Everett Official Use Only <br /> FEE <br /> �S <br /> f" PERMIT# <br /> Owners tliorized Agent Signature Date (Revised 10/12/2015) <br />
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