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06/05/2006 06:11 25328811y GARNER ELECTRT(' PAGE 05/08 ELCT ll L PER J+:IT APPLICATION CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, 1NA 98201 (P)425-2578810 I FAX 425-257-8857 I (E)everetteps@evereltyva.gov I vw w.evetettwa.gov/permits PROJECT ADDRESS: 332 31 f'JYlV _ BUILDING AREA(if residential,new construction,remodel,or addition) _ SF BUILDING TYPE: 0 SFR-DETACHED n SFR-ATTACHED CI DUPLEX p MULTI-FAMILY- OF UNITS: ,.,. ©COMMERCIAL USE OF BUILDING: CONTRACT PRICE OF WORK$ 1 5 NUMBER OF LDEVICES.2 low voltage): FIRE ALARM? _ 0 YES aNO - ASSOCIATED BUILDING PERMIT#(if applicable): .. DESCRIPTION OF WORK: 2a) &trip .CONTA,C1:IN01OUMA flONt. OWNER NAME: lc _Y l 14 TENANT NAME(If CommercIal : OWNER MAILING ADORES . STREET . 4:7.-14 olTM .DE I'k s Af' STATE.\A 'A ZIP q ,. OWNER PHONE: `` _ •• • 110 OWNER ER EMAIL: �y,yWr..�.................,....,.,....__.............,.-. '....'...,...,.-xvJlyl....-.... i•rvyy�.. _—.._...., , ..,.. .,.....rr.,r..r. .u..,.. .. ........ ._ ...-.,.......i..� . P:WVCJ�....._._�..._n_1 ,vA-...-..�.._ .....F.t.. ,etn•y CONTRACTOR NAME: (110-1111 LLe, CONTRACTOR ADDRESS: - STREET c e L. `. r 9 CITY t p STATE ZIP th CONTRACTOR PHONE: T. -.`3 • - (0 re,3 CONTRACTOR EMAIL: bn v. , � �� ei11\I _OS4.(2() ►, _ CONTRACTOR LIC. (REGIUIRED) *, i CITY OF EVERETT BUSINESS LIC.ff(REC�UIRED) r.,�.„.................... „_ -.,.nta..rrwm.,JtJr"...,,..�,-... �,y. -..- PRIMARY CONTACT: 0 OWNER litCONTRACTOR 0 OTHER(Please Specify) CirpIVACT NAME: CONTACT PHONE: b! � a CONTACT EMAIL: I``,I \A. - ) �) AGREEMENT;T hereby certify that I have read and examined this application end know the same to be true and correct All provisions of laws and ordinances governing this type of work will be completed whether specified/ford]or not- The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state of local law regulating 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 and 1 comply with the State Contractors Law 18.27 RCCWand 293.200 WAG. City of Everett Official Use Only FEE q-s .0 PERMIT# l E 1_ ( O "O Owner/Authorized Agent SignatGro Date (Revised 10/12/2015)