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TECTA ICAL PERMIT j TION <br /> N <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E) everetteps@evereftwa.gov 1 www.everettwagov/permits <br /> PROJECT ADDRESS: 33 > q.. ( ' 'b 1'T Co 9,1,yr) <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: iSFR-DETACHED 0 SFR ATTACHED D DUPLEX El MULTI-FAMILY-#OF UNITS: El COMMERCIAL <br /> USE OF BUILDING: <br /> C®ILII!„ <br /> :�0.-.I��A 1N:AidrLi•9�:S^n� .... .•it kir'�'n:4... _��a``,:r <br /> ��.•. ..,__,....._.... .... ......... -. .._;iti.s+ce:e�.x::�.•:&.x.�v.�.a'sa_-.,_...., _..�.-..:.:;.e:::�:x.,�,.,.:r:;.,..>::4..:.at;.�:-:o.,.n:,r,% .. :s <br /> CONTRACT PRICE OF WORK:$ 4 oo .00 <br /> NUMBER OF DEVICES (if low voltage): <br /> FIRE ALARM? 0 YES AA n0 <br /> ASSOCIATED BUILDING PERMIT#Cif applicable): <br /> 1 <br /> DESCRIPTION.OF WORK: "17c,t, <br /> . COIF <br /> QWNER NAflNII`_A.kt b?Ires4 a, TENANT NAME(if Commercial): <br /> OWNER MAILING ADDRESS: STREET t'3'b 00 y 44h...41 V t c fir} �L1�;'c 3d <br /> 3 <br /> Cny KA#U v'4-4:A. ' • STATE W O\ ZIP <br /> OWNER PHONE:'3VO - 1,3 za oC .3 ,v�,u n,....OWNER EMAIL; .. .. •... ..... A.,... ,. ,. . A.12-..4A....•••••...�. _..cA.e.. .. .._ <br /> CONTRACTOR NAME: _ 5 L r A-ri c. <br /> CONTRACTOR ADDRESS: STREET 1 IAA AYNc., G +- p�j yy <br /> CITY �'( <br /> 4�rL7A9^ STATE e4 ZIP C\i1 41P <br /> CONTRACTOR PHONE:e ' - 3 6 t-q 3$2. ,CONTRACTOR EMAIL: (A.1 i ) z 34,416 .tlCCJ T;c . Ls 5 <br /> CONTRACTOR LIC.#(REQUIRED): s.S.)til•-t:L)E•� G(� CITYOFEVERETT BUSINESS LIC.#(REQUIRED):M (( ...et� <br /> PRIMARY CONTACT: LI OWNER El CONTRACTOR E OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: <br /> CONTACT EMAIL: <br /> AGREEMENT T hereby certify that i have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br /> type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulating construction orthe performance of construction. That l am authorized by the owner of this property to perform the work for which application is made and l <br /> comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> PERMIT# <br /> Ouvne ntiiorized ge ignature Date . (Revised 10/12/2015) <br />