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11/29/2016 14 : 11 #1353 P. 001/001 <br /> � <br /> CTR,�CAL P�RM1T ,AP�ICATION <br /> CITY OF �V�R�T7 PERMIT SERVIC�S <br /> 320� CEDAR STRE�T, EV�R�TT, WA 98201 <br /> (P) 425-257-8810 j �AX 425-257-8857 � (E) �veretteps@everetlwa.gov � www_e�erettwa_gov/permits <br /> ... ....... .. .., <br /> . .. ...... .. <br /> ON . ; . <br /> . . ,. _ <br /> . . <br /> PROJ.ECT SITE IN.FO�MATN <br /> PROJ�CT AbDR�SS: C�C..� ��L�� �� <br /> BUlE.DlNG AREA(if residential, new construction, remodel,or ad�ition) SF <br /> Bt{1LDING TYp�: Q SFR�bFTACH�D L7 SFR-A'1'TACH�p I� DUP��X ❑ MUI.TI-FAMILY-#OF UNITS; �1 COMM�RCIAL <br /> US�OF BUIL.pINCC: c�j�/1r <br /> �?LEC7RI,CAL I�PPLICATION 11��O4�M,QTIO,N <br /> CONTRAC'F PRiCE OF 1NORK: $ D D <br /> NUMS�R OF DEUICES (if!ow volta e : <br /> FIR�ALARM? ❑ Y�S Q NO <br /> ASSOCIATED stJILD[NG P�RN117# if a Ilcable : <br /> p�SCRIPTlON O�WOI�K: N� P/ml L ��- `U�� � <br /> ' CONT/#CT.KNFORI1f1�1TMON, . <br /> OVUN�R NAM�: M .S TENANT NAM�(!f Cammerciap: <br /> OWN�R MAILING ADDRESS: sTR�ET O ` �'Z~ <br /> Ci'ry ~ STATE ZIP L�% <br /> OVIINER PHON�: � O OWN�R�MAIL: . <br /> . .. ... .... .. . .. .. ........ _. <br /> cor�Tw�cro�r�AM�: LhN .r��' � .T h,��Zl//C� <br /> CONTRACTOR AQDRESS: srR�ET d� � � � <br /> CI7Y STATH z1P /'r� � <br /> CON7RACTOR PNONE: ?-f j CONTRACT�i2 EMAIL: <br /> coNTRACTOR Llc,#{��qu��t��: E��I S�I �y��-P cITY QF�v�RErf 6uSfN�ss�ic.#(REQUIREP).d/�j i�r3 <br /> ....... .......�............ . ... .........._.................. ...... ........._._... ............. .. ............... ............. .... .. .......... ....... ...... .......................... .......... ... .................. . <br /> PRIMARY coN'fACT: 1] OWNER 0 C4N7RACTOR CI(JTH�R(Please Specify) <br /> COI�TACT NAME: CON7AC7 PHONE: Y�f' ,Z�l 2 Z <br /> � ���' CONTAC7 EMAIL: <br /> AGREFMEN]";T heraby ce�tily that!have read and exam;nmd thls application and know the same to be true and�m�ct All p�ovlslons of lsws and ord;nances govr�rnrng fhis <br /> #yp�of woik w!l1 be compieted whetAer specified herein ornot. The granfing of a permit doos not prosume to�Ne auihon(y to v;olate or cancal tha provisians oF any other�tafe❑r <br /> local(aw re9ulat;n�conetruction or thB por�ormance of cQnsfnrctian. rnaf I am authorized hy the owne�o�t�ls proparty to perfnrm the wodc for which app�ication is matle and I <br /> eomply wifh the Stata Contrectors L.aw�8,271�CW ana 298,200 WAC. <br /> City el EverBtt O�cia1 Use Only <br /> FE <br /> �a` � <br /> �oo. <br /> P�Rnnir� <br /> �/ �� / �� i I-' �Z <br /> flklfi Autharized Agont Signakure Dafe (�ovlsed 90/12/2015) <br /> � <br />