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� <br /> � <br /> ���������� ������ ����Q�Q�d�� <br /> CITY 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 /> ��t��l��`r �1�°� 9Qd��R�iA'�"��� <br /> ^ . � C.�v�� � j <br /> PROJECT ADDRESS: G-7i / v <br /> BUILDING AREA(if residential, new construction, remodel, or addition) � .J�V SF <br /> BUILDIPIG TYPE: SFR-DETACHED ❑SFR-AITACHED ❑ DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDING: <br /> _ E CTRIC.� /�PP�,aCATtOid 'tdF'ORIV�ATOOIV <br /> CONTRACT PRICE OF WOR4C:$ 2��C� ` <br /> NUMBER OF DEVICES (if low vo(ta e): <br /> FIRE ALARM? ❑YES O <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTI�N OF WORK: N�w {�(,.��7�Ei�, C�� <br /> ` : CONTACT INFORMATION <br /> OWNER NAME: � t�I.-! � ��! 'T� TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: s-rtzeer 2ZZ-� �i ry.�}-{ti y 14 �1� <br /> CITY �UG'''�(i'�,1 STATE V�TT ZIP � 2 E� <br /> OWNER PHONE: 2��r � ��'� • 2�b � OWNER EMAIL: <br /> CONTRACTOR NAME: �}'�,�YL1.� � I������— <br /> CONTRACTOR ADDRESS: sraeEr �Z �. � ��L� �� <br /> ciTv �J[•s�2�1��•�lC�(71�1 STATE I.v�� ziP `L�2 zi <br /> CONTRACTOR PHONE: 3�^O �1 G� ��ZZ CONTRACTOR EMAIL: , L'C �'i C� �v E1 Gl��91L L I�'Cf✓'t C <br /> CONTRACTOR LIC.#(REQUIRED]: IeN�V���L ��l� D CITY OF EVERETT BUSWESS LIC.#(REQUI ): <br /> PRIMARY CONTACT: ❑OWNER ❑ CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: �,jf�� 'Z�(� .Z��j� �a`- <br /> J/ti{"�/� i� �GG/�L,l�N CONTACT EMAIL: Q�GG v:G�Gt � (� �N�1 i��I G(��''(� : C.�lly� <br /> AGREEMENT.�T hereby certify that I have�ead and examined this application and know the same to be t�ue and correct. All provisions of laws and ordinances governing this <br /> type of work will be completed whefher specified herein or not. The granfing of a permit does nof presume to grve authority to violate or cancel the provrsions of any other state or <br /> local!aw regulating consfruction or the performance of const�uction. That!am authorized by tl�e owner of this property to perform the work for which application is made and! <br /> comply with the State Contracfors Law 18.27 RCW and 296.200 WAC. <br /> Crty of Everett Official Use Only <br /> FEE <br /> . �� �_ <br /> PERMIT# <br /> _ � G �j . ��. � � `�--� � ..-. � � 2 <br /> Ow r/ uthorized Agent Signafure Date (Revised 10/92/2095) <br />