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Jan. 10. 2017-12: 29PM Sound Security Inc No. 1408 P. 2
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<br /> •LICTJRCAL PERMIT APPLICATION •
<br /> I*✓ , -. CJI fY'OF EVERETT PERMIT SERVICES
<br /> 3204CEDAR STREET, EVERETT, WA,98201
<br /> (P)425-.257-8810 j FAX 425-257-88571K(E) everetteps@everettwa.gov J www.everettwa.gov/permits
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<br /> PROJECT ADDRESS: �• l�; / '° 11 ' rr'
<br /> DUll_DING MEA(if residential,new construction, remodel,or:addition) SP
<br /> BUILDING TYPE:.0 SFR-DETACHED 0 SFR-ATTACHED' '0 DUPLEX 0 MULTI-FAIVIILY-#OF UNITS: WCOMMERCIAL
<br /> USE OF BUILDING: : ?
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<br /> CONTRACT PRICE OF WORK;$
<br /> NUMBER OF DEVICESSf low voltage); '
<br /> FIRE ALARM? YES In NO i'll.-:; - •
<br /> ASSOCIATED BUILDING PERMIT# if applicable): f
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<br /> DESCRIPTION OF WORK: Ti n.>.,� r0lSYl r`(1S—CP.aa IA.IC r C`t in Lt vri I if lev.'
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<br /> i67PS c160). � J ,
<br /> IER NAME: _ V TENANT NAME(If Commercial) r I�1 ! , i ..
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<br /> OWNER MAILINGADDRESS: STREET - •.i .
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<br /> CrrY STATE 7JF
<br /> OWNER PHONE: 1 IOWT ER EMAIL:
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<br /> CONTRACTOR NAME: { i..f , : • A /. e r G .
<br /> CONTRACTOR ADDRESS: STREET . . a J. r A. 4. -...
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<br /> CONTRACTOR PHON Z 25ff 3(055 c0•NTRACTORFNIAIL b )ler e, 30n1-iol�i.c +A(r,-C jal -
<br /> CONTRACTOR LIC.#(REQUIRED): ,5 tJ I. ,i3..4.63,L1......1CITY OF EVERETT BUSINESS 1,IC.#(REQUIRfrD: 1-3111 3
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<br /> PRIMARY CONTACT; El QWNER in CONTRACTOR D OTHER(Please Specify) •.
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<br /> CONTACT � : r . CQINTACT PHONE: C4Z5.-97/ r025ya,,
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<br /> ...,..,„...... , CQNTAGT EMAIL.: • a 16 ik#) 1 ... ..•ti• ' a •
<br /> AGREEJI6ENT T hereby aerfify that I ha read and examined this spplication:end know the seme to be true end correct.All provisions ofb ws and ordinances governing this
<br /> type of work will be completed whether specified herein or not. The gran ing,:ofa permit does not presume to give authority to violate or cancel the provisions of any other state or
<br /> local lawregulating construction antra performance of construction. That!am authorized by the owner ofthis property to perform the work for which application is mode end I
<br /> comply with the State Confraotora Lew 18.27 RCW end 298.200 WAC.
<br /> City of Everett Official Use Only
<br /> FEE
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<br /> 4d.- wit Obit
<br /> itfiorized Ager,(-gna4ure Dater (Revised(0/12/2095)
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