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- �L f�G��G�30C°QI� G'L �'�v�i 0�1 Q�pL��C�/����I� <br /> �� C1TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E) everetteps@everettwa.gov� www.everettwa.gov/permits <br /> . : . : . , , <br /> . . :. ,... ,.,,. <br /> , PI���GC�u �0 il'C �G�IG�oOL��L�`�P➢O�1 _ <br /> _ _ _ <br /> PROJECTADDRESS: 7�0� L��V��I I:�Ivf �Vr,� �cy� 9���3 <br /> BUILDING AREA(if residenfial,new construction, remodel, or addition) SF <br /> BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDIIVG: <br /> —. _ <br /> �����r�o��a����o������ a�����ac��a�i� _ <br /> COiVTRACT PRICE OF 1NORK: $ "'�� <br /> �IUfVIBER OF DEVICES (ifi low voltage):� <br /> FIRE ALARM? ❑YES IIl RIO <br /> ASSOCIATED BUILDIIVG PERMIT#(if applicable): <br /> DESCRIPTION OF 1n/ORF�: <br /> � /c�tG'� 2�a , %c/�;c� r c-C' - <br /> ,. _. _. _ <br /> C�N7`ACT-9M�'oitiVlAYIOA9 ::' . `, <br /> OWNER NAME: �A✓J;— / '(,K�'-' TENANT NAME(If Commerciaf): <br /> OWNER MAILING ADDRESS: srReEr 7 9O y�('� c <br /> CITY STATE C�IJ� ZIP /O� <br /> OWNER PHONE: — OWNER EMAfL: •— <br /> CONTRACTORNAME: C;CG '/(r T//�j��i ECtG�-�� <br /> CONTRACTOR ADDRESS: srReEr 7/�Q �jj� �./ O'Y- <br /> crrv ��!�!��- srn-rE GtJ:�" zia �-/� ���%S <br /> CONTRACTORPHONE: Z�E —L/LJ — �//� CONTRACTOREMAIL: L'L.,� ��/7/�3rcC �� G 'Ilc�v. ' �v <br /> CONTRACTOR L[C.#(REQUIRED): F(j'JL((�' c3�,d CITY OF EVERETT BUSWESS LIC.#(REC2UIRED). ���� <br /> .._.--°,..� .._._. ...�..,,,_ ,_ ,_,,...:,. .. .:.,._ . �._...... ... .....: . ........:. ....:...._:. ..: .,,._... , _ .:.... �._. <br /> ..:,.�:, _:. .�.... _._,.,� .. ..� ._.....,_.. ......: .... . .. ..� .. <br /> PRIMARY CONTACT: �I OWNER [�QNTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: �?p�,_ -�j/�( — L///7 � <br /> f��`�/' � �Cj�.�� CON7AGT EMAIL: �v�I/ �/�I�"N` CG/17� �+! ' ��I.�� <br /> AGREEMENT.�T hereby certify thaf/have read and examined this applrcation and know the same to be tr e and c rrect All provisions offaws and ordinances governing this <br /> type of work will be completed whether specified herein or nof The granting of a permif does not presume fo give authorify to violate or cancel the provisions of any other state or <br /> local law regulating construction or fhe performance of construction. That l am authorized by the owner of this property to perform the work for which application is made and I <br /> comp/y with the Sfate Confracfors Lav✓78.27 RCW and 29620o WAC. <br /> City of Everett Official Use Only <br /> FEE � <br /> � <br /> ( b� . -' <br /> PERMIT# <br /> �ll.� ;�/����,,9,.� � I'I I 1' �1'I <br /> O / orized Age Signafure Dafe (Revised 90/12/209.5) <br />