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��������a� p����� ��������o�� <br /> CITY OF EVERETT P�RMIT �VICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)42�-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov � www.everettwa.gov/permits <br /> - �RO���`�' �S`I'E �6�FO�V�d�'�'i0� <br /> PROJECT ADDRESS: ;�� ZC.C,��t,�-- l�;L <br /> BUlLDING AREA(if residential, new construction, remodel, or addition) SF' <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑ COMI�IERCIAL <br /> USE OF BUILDING: �c,�-��yv� � <br /> EI�EC'�°RICAL d�9��L9Ci�Y'9�� ���OI�QVIA�'lOH9 <br /> CONTRACT PRICE OF WORK: $ �7�; E-`� <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? ❑YES NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: JZ��„y. ,;y ,�Z��/z� 1'c;,�a�rz v,rc Cl�<.c-51 3'� Sfo� ��t _ <br /> � <br /> l , i� ti ' 4�in c Y� ' �/ " >c� Ti <br /> U �_ `_ <br /> 2 - -,�r.�,�� �- - ,� <�_ � � <br /> � <br /> . CONTACT INFORMATION <br /> OWNER NAME: �j j�.v�,/L �J�'J �5 TENANT NAME{If Commercial): <br /> OWNER MAILING ADDRESS: srREEr 5 �:c, ��,,% �' <br /> CITY � r STATE �,�� ZIP l' �� <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: j L�'�• '�L (,'/ � <br /> CONTRACTOR ADDRESS: sTReer /(j �,.��' ' / / C � �' '" >� <br /> CITY STATE 1✓C'T ZIP � � <br /> CONTRACTOR PHONE: ��7-�/Z� ��,� CONTRACTOR EMAIL: <br /> CONTRACTOR LIC,#(REQUIRED): /j� ' � �jf� CITY OF EVERETT BUSINESS LIC.#(REQUIRED). 7�(e � <br /> PRIMARY CONTACT: ❑ OWNER � CONTRACTOR ❑ OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: ��_ �;�� ._ �� <br /> ��1��: J�/L�+� CONTAGTEMAIL: �/G� � G-�?�G ���- �' � �v� . <br /> AGREEMENT.'T hereby certify fhat 1 have read and examined this applicafion and know the same fo be true and correct. All provisions of laws and ordinances go��eming this <br /> type of work will be completed whether specified herein ornot. The granting of a permit does not presume fo give authorify to violate or cancel the provisions of an��other state or <br /> local law�egulating construction or the perfo�mance of construction. Thaf(am aufhorized by the owner of fhis property to perform the work for which applicztion is,nade and I <br /> comply�✓ith the Stafe Contractors Law 9827 RCW and 296200 WAC. <br /> Ci(y of Everett Offcial Use Only <br /> FEE <br /> �.�� �. <br /> PERMIT# <br /> ���� f��� �/ �� � V'� � � � �� �� <br /> G� l � <br /> O r/Autiiorized Agent Signature Dafe ' (Revrsed 10/92/2095) <br />