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Oct. 24, 2016�1C : 30AM Sound Security Inca�� ����Q� ��0(��No. 1112� P, 1/1 <br /> i���.� u � ��.� . <br /> CiTY OF �V�R�TT PERMI RViCES <br /> 3200 CEDAR S7REET, �VEREiT, WA 98201 <br /> (P)42�-257�$S10 � FAX 425�257-8857 � (�) evere�teps@everetfwa.gov l �wvw,everettwa_govlpermits <br /> . . . ' � Y:Yt�O/�A���.���Y�y�s.'^���Y�i�����LVf� \ t .� di <br /> ..,, � ., .�_ <br /> � <br /> i. . _ <br /> . i " . <br /> �� .�.�� .. �� :.� e > .: . . <... .:1. '.:...�_.k.. , .�:. <br /> I _ R :.'V<.M-`. ...L. <br /> PRaJEC�'ADDR�SS: <br /> F3U1Lb1N�AR�A(if�esidential, new constructi❑n, remodel, or addi#ion) S� <br /> BufLOING TYP�:.C� s�ft-DETACHED ❑ S�R ATTAcNED ❑ DUpLE�C ❑ MULTI-FAMILY-#OF UNI-�S: cOMMERCIAL <br /> U5�OF BU1LpIf�IG: P � <br /> , <br /> ����'�'�g�a�� �,6�u�Ldcd�'���0�1 9�YF�R���1�� , . <br /> . .�.. . . ��'� . �•�... ...,� A. � '.i LL../:�•n, .• <br /> �v�r..,� ♦u�,• . ,?•' �`:" �„ ' <br /> coNTRACT PRtc� OF uvoRK:$ � ��C� � <br /> NUMS�R OF D�VIC�S (i�low voltage : <br /> FIR�AL4RM? C7 Y�S No <br /> ,4SSOCIATED BUI��IING P�RMIT� if applic�ble : <br /> D�SCR[PTIOtJ O�1NORK: In � - <br /> P U �` ' �- <br /> • ;�::�>, ;.,. .:... ...,. � . „ . .. - - - -- _ �-. -. . _ - <br /> . _ coi��i4cT:��F�.giyitiTro�a" � - , `��'�:. <br /> .�_ - <br /> ,INER NAME• . 7�NANT NAME If Cortt[nercial ' � r � � <br /> PWN�fZ MAILIhIG AbPR�55. s'r+tEEr <br /> cirr sra� ���1 zP <br /> OWI�ER PHONE: OW�IER EMqIL- . � <br /> CONTRACTOR NAIVI�: �� o e i G <br /> CoNTRACTOft AD17RE5S: sTREEr aol ( � ^CL�� <br /> CIN v STATH Z�p �� � <br /> CONTRACTOE2 PHOfV _ Z� � � 5� CON7I�AC'COREMAIL: .� � Q►'- cS f�i 7'►�I Cl/I`�C. �� <br /> CONTRACTaR LIC.#tREQu1R�D}: � I 7�� CITY oF�V�RETT gUSIN�SS LIC.#REqUIP.ED): _ � <br /> PRINlARY CO�fTACT: p oWNER CONTRAGTOR ❑ OTH�I�(Please Specify) <br /> Co TACT N'A , C�N'TACT PhfONE: C.-l- - , � � <br /> coN�ACT�MAt�: �, � <br /> AGREEMENT Thsr�by certify thac l ve rsed 6nd eXa�7lnad fhfS sppl�Cetion and know�f76 SBPIe to be frll�a77d coiract A11 provielons of l ws 2f1d olrflrlencaS gove�ing this <br /> typa of work wi11 be completed whefhBr specffied here7n o�nof_ The grenting of a permrf doas not p�sume fo gi��euthorlty to violata ar cance�ihe provis�ons o`sny otharstafe ar <br /> locallawragu/a�'ng co�struction orths perPormence of consf+vction. Thef/am authorized by the owner of thfs properfy to perform the work for wh�ch applicafran ls made snd/ <br /> complywith the Sfafe cantractors Lew 1&.27RCwand2962o0 wAC. <br /> Cify of Evorolt Offclal Use Only <br /> FE� <br /> � 2 - S � <br /> PERMIT# <br /> � 102� I (� � � �� 0 - � 50 <br /> ownsr/Auttiorized Agenf gnstura bat (Rav�sad 90/12/2015) <br />