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L <br /> CITY(�F EV�RETT PER�11iT SEF2VICES <br /> 32t1(}C�DAR ST�tEET, EV���TT,1�JA 982�'� <br /> (P)425-257-�81D � FAX 4Z�-257-88�7 � {��evereEteps�a euerettwa.��v( .ever�ttwa:.gouf�ermlts <br /> . PR�DJECT SlTE 1 �`��t�ATi _ <br /> P�a.r�cT��c�R�ss: 2524 57th Street SW <br /> BUfLDlNG ARBA(if residenkial,new canstruc�an,remadei,or addilion}�r��� 5F <br /> BUILDiWC`a TYPE: �S�R-C7�TACHEC3 IZI S�Ft-A'TTACH�D �DUPLEX C7 NTLILi"t-�AMiLY-#OF UNlTS'. �Ct�MMEFtCIAI. <br /> USE OF SUlLOING: SFR <br /> _ LEC"�ROCA�.APPLIC 1 INF . ATION <br /> CONTRACT PRICE OF Wi)RK:$ '(,3�fl,00 <br /> NUNiBECZ C}F DEVICES{if low volta e): 1 <br /> FIRE . RM? ❑YE8 �Nt� <br /> ASSfl�IA'fED�UiL�ING PERMIT#{if a iicabl�}: <br /> D�sCRIPTt�N o�'4tYaRK; 1NSTALk.CIRCUIT TC}ACCt�MMaDATE AN EV CHARGER <br /> _ TAt:`T" 1 _ _ _IIAA7"1 _ _ _ <br /> OWNER NA�1E; L78f[G�Ct SE#532635 TENAN"f NAIVIE If Commerciai : <br /> owN��nn�c��ir��Ao�R�ss: 5,���� 2524 57#h Street SW <br /> c�rr Everett sTaTE WA �,P 98203 <br /> �w�����a��: 425�327-2690 �w��R�n�,���.:dan r'�7r probidsimp6emr�ds.cum <br /> CONTRAC70R NAME: S�B�SUf5�EICiC�fIC <br /> cot�r�ac�°o�aooRess: STAE�2915 Chestnut Street <br /> crrv Everett svnre WA z3� 5�2t11 <br /> CONTRAC70R PHC}NE: 425-258-7 88� CONTRACTOR EMAiL: swil€marth@seahurs#.com <br /> GC4NTRACTOft LIC,ttZR�ctu�R�a�: BEAHUE1099QN CITY OF EVERETT BUSINESS E.1C.#tRE�UtRED}: 18763 <br /> PRiMARY C�IVTACT: C]t?VtfNER �!CONTRAGTC3R Cl CITHER{Please 5pecifiY) <br /> cClN�'paCi r�l�: � �`ACT t�H E: 425-23�-7'724 <br /> Rob L�yes co�t�rAc-r��to�t�.:riayes seahurs#.com <br /> RGREEMENT#herpby csriity that t have read a�rd exarrilhsB this appGcattor+ancf knaw ft+e same to be tnre and ewiact. A!P provrsfar+s a/faws anct ordiaaanees govetntng th�s type <br /> etf wark wi1J t�e campteted whether speclNed herarn or naL The gr�ntfng vt a permll daes noP pae&um�to give autho€ity to viotate or cence!fhe pronfstans�if any ather sPate c+r <br /> tacatlsw r�gulat�ng consfruc�on or the perJnrrnarace olccazisfructio+t 1"hat t�m autharfzed 6y the ovener ot thfs praperty to perfams the work Por mvhach appNcefrsrn fs mede end f <br /> co�n�v w;sn rn�sr�re cont��tors cew�a a��cw��,d�es,zoa w��� <br /> Crty of�'verett Offict"a!Use OnJy <br /> PERMI'C# <br /> f, ,,,,/� E <br /> ' t�,� � Ul"�� <br /> t'hwnerlAuthorized I►gsnt5lgnature C2ata (Reuise�cf 8/23l2A�6j <br />