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06/05/2006 06:11 253281'156 GARNER ELECTIUI PAGE 01/08 <br /> NW, IELE TWCAL. PERMIT IT AP L I > TION <br /> CITY Or EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, \NA 98201 <br /> (1')425-257-8810 f FAX 425-257-8857 I (E) everetteps@everetlwa.gov 1 www.everettwa.gov/permits <br /> r <br /> I 'lifpy. r'��1 C'II/�0p(A -O : <br /> , : N ", .:. .,.... .... :. � • .. <br /> ;PROJECT ADDRESS: 3`313 31--- d 4V.te <br /> BUILDING AREA(if residential,new construction,remodel,or addition) _ SF <br /> BUILDING TYPE: D SFR-DETACHED D SFR-ATTACHED D DUPLEX. Nf MULTI-FAMILY-#OF UNITSJG 0 COMMERCIAL <br /> USE OF BUILDING: <br /> ::'7'4:7 :'"'.7'.'5' <br /> -.. . -...:; :: .; <br /> _,. •. • : •. • ... . .... ..:• . .• . , ... .�'+�e. i[��(o pp g��p8a j•''ll`lf•�i>�:::dil�9�-',O[ftlN'�;�;'1�11�JJ��wwnn <br /> .i.4 lrw iw�W�l14 6!\i�i Lf!11�1P!lL:� /W .8�9tl. ... ... ..... ., .. <br /> CONTRACT PRICE OF WORK:$ f 4 1, ) '' <br /> NUMBER OF DEVICES(if low volts•e : <br /> FIRE ALARM? Cl YES ( 'NO <br /> (ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: - <br /> 2.00 Emse -1-e al.2. _ 3 I <br /> I <br /> , . CON1"A01..'INFO tM.A'flON <br /> OWNER NAME: -WJt\ dyl jre"t �ft)�'YM•'_1 TENANT NAME(If Commercial): <br /> OWNER MAILING ADDR1; .5f STRF.KT !"1" S _ .ki ���)1�'e_ ) ( :Yli( 1�^ <br /> CITY r r STATE V\ ZIP v] , <br /> OWNER PHONE: -- `~ • 0 ''. AIP OWNER MAIL: <br /> CONTRACTOR NAME: ('� .r0 e.T F,e.(!;11110., lid Pr-1- L M _e <br /> CONTRACTOR ADDRESS: STIM_ET OI \P c i I e.ii tckt AJ 1 `.;')o-\-1-e. I No <br /> CITY ) t p STATE - ZIP 'IRS 7 1 <br /> CONTRACTOR PHONE: ' rW -r."1___1„."..,,,, ,,,,,,,,,� ' rr,1.-' a: EMAIL: 1,2`j• .- <br /> CONTRACTOR LIG.#RF_QUIR b:C"ik IP N TN. . `fir' OF EVERETT BUSINESS LIC.#(REQUIRED)•,•'2 0 <br /> PRIMARY CONTACT: D OWNER in CONTRACTOR 0 OTHER(Please Specify) <br /> CrgINTACT NAME: CONTACT PHONE: ("3(00 o n <br /> ,303 <br /> 6111 \NA-ele CONTACTEMAIL: s le C <br /> AGREEMENT.T heroby certify that 1 have read and examined this application and know the same fo be true and correct. All provisions of laws end ordinances governing this <br /> type of work will be completed whether spoollled herein or not, The granting of a permit does not presume to give authority to violate or cancel the provisions of any other slate or <br /> local law rogutatlnd construction or the performance of construction. That 1 am authorized by the owner of this property to perform the work for which application is made end I <br /> comply with the State Contractors Law 11127 RCW and 290.200 WAC. <br /> City of Everett Crfiole!Use Only <br /> FEE <br /> e4 <br /> PERMIT if <br /> 4LL <br /> - C-- <br /> it I ► k12-1 ( E L O —- 0$ t <br /> Owner/Authorized Agent Signet re Date (Revised 10/17/2015) <br />