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!C�`�I�.Q��� 1�����`� .������`�8�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9820'1 <br /> (P)425-257-8810 � FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everettwa.govJpermits <br /> ..: _ _ .,. . , . . .. -- - <br /> �..: .r.... ._ .., .. <br /> - ' � �: ... . .73g���`�'��p�'� �Pa�'��M�`�'9�9QH�`�:. . _ , - -. ... <br /> �. :. ..: �.. . ,..:. :. . . .. ,. . ... _ . ... .,� <br /> , . ._. .._. _ ...... . .. . . . � <br /> _.. :- ... .: ........ . . .. <br /> PROJECT ADDRESS: � � z � �/'� '7�" �C� �v��� / <br /> BUILDING AREA(if residenfial,new construction,remodel,or addition) ��Cl� SF ' <br /> BUILDING TYPE: ❑SFR DET/aCHED SFR-A D ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE OF BUILDIiVG: �j�,/��� • <br /> . . - ..;.: .. . _�. .. :.. :.:.... ....:.,. ..;.: .. .:::....:..;.�....:...... _...,,.. -., .. :,_.:.-,:_.. ....:..:..�:.:::_ _„ - . • - <br /> __. _. .. ...,.., <br /> . - L�C7°'1tICA�:AP :�IC.�`�'10IBd �[VFORt�IAT'I��d , ' <br /> CONTRACT PIRICE OF WOR�C: /Z� � ' <br /> NUMBER OF DEVICES(ifi low oltage):� <br /> FIRE ALARM? ❑YES <br /> ASSOCIATED BUILDING PERMiT#(if applicable); <br /> DESCRIPT[OiV O�WORkC: �� /� �`��'Z- G�t'�-�?/G�"� <br /> •_.,:�- � , - - _. . - - ... . .. . <br /> : ._.. . . . ......... : �..:.. :.,.,. .0�.•-TAC <br /> ,.. .... y....: . . <br /> . .. .. <br /> . - ...: ::� ..:�N. ,.: .T�INFORMAT.10[�. .. <br /> OWNER NAME: �.��L� UL� �� � TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: s-rR�r J�ZI �7Y� � 5� <br /> CffY �'�/E%%�r(.Fi (/ STATE Lt/ 71P�(J�O <br /> �WNER PHQNE: OWNER EMA(L: <br /> CONTRACTO:R NAME: T�L(� C�f�Ti�L�� <br /> CONTRACTOR ADDRESS; s-rReEr ��� f�G�l/CY�L� /'�L�/v <br /> cirr C�fI�.CriYL��T STATE L✓�" ziP g`�T�J� <br /> CONTRACTOR PHONE:�ZS� 3?�7`"�b j � CONTRACTOR EMAIL: Lc�i�/J7J�/9`7/� (,�/-�l�� <br /> CONTRAC70R LIC,#(REQUIRED):��,�LTCr�G��"��l G� CITY OP EVERETT BUSINESS L(C.#(REQUf D):(' �}°� <br /> PRIMARY CONTACT:W ❑OWNER �.�I�ONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: �Z`�—�j�'�— �C�/ <br /> ��� j�,yv����/?f� CONTACT EMAlL: j[�yt���fg'"�� ��j,�,UNij <br /> AGREEMEIJT,•T here6y certify thaf!have read and examined this application and know the same to be true and correct. All provisions oflaws artd ordinances governing this <br /> type of work will be completed whether specified herein or not. The granfing of a permit does nof presume to give aufhority to violate or cancel the provisions of any other sfate or <br /> local law regulating construction or fhe performance of construction. That i am authorized by the owner of this property fo perform the work for which application is made and l <br /> comply with the Stafe Confractors Law 98.27 RCW arzd 296 200 WRC <br /> City of Everett Official Use Only <br /> FEE <br /> . loa `-- <br /> PERMIT# <br /> � �� 2v �i � �� l - �� �-- <br /> wner/Authorized Agent Signafure Date (Revised 10/97J2095) <br />