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. aios.� ��s7 <br /> E�,��T`�.��r4� P�R�Ui��` APP(LIC,A�'�O�I <br /> � C1TY OF EVERETi'PERMIT SERVIC�S <br /> 3200 CEDAR STREET, EVER�TT,WA 98201 <br /> (P)425-257-8810 � FAX 425 257-8857 � (E)everetteps@everetfwa.gov� www.everettwa.gov/permits <br /> _ .,,. .. . .:... _.. . =�-•.�.. - _ ' <br /> - - -- - �.,:..�'. . . <br /> ..OJB4T�$ '�'�r:�N�O: .Nl•.•TIOI�, <br /> .� .� .:1�. .'.;. <br /> ��_. :�:�. <br /> _� <br /> ......�....�..:.........._...,...:.. :......... .... ..:..�......:......�.. ..... .:..- <br /> PR�JECT ADDRESS: �;�p "/�. <br /> BUILDIfVG AREA(if residential,new constructlon,r�emo I,or additlon} SF ' <br /> BUILDING TYPE: ❑SFR DETACHED ❑SFR-ATTACHED ❑DUPLEX I�MULTt-FAMILY-#OF UNITS: �COMMERCIAL. <br /> USE OP BUILDING: �ES�kG EV��ETT ' <br /> . � - � =EtQ��� C� .�hM:� �AT�ON^I ��ORiW �TI01� � �'.� <br /> '.�� T'RI .�AL�A� .4. � A:�. <br /> - .i-t. . 't•L'. _ . �.4'� - <br /> CONTRACT PRICE OF WORK:$ l • <br /> NUMBER OF DEVICES(if low voltage):� <br /> F1RE ALARM7 C7 YES NO <br /> ASSOCIATED BUILDING PERMIT# !f a plicable: <br /> DESCRIPTION QF WORK: <br /> . :�.'. - � - , :�� ' ; � � � - � �.G,OIMTACT�INFOIt1�lAT10N. � • . .. . -- . , .,.. =��_.... •` <br /> .-.•. ,_ <br /> OWNER NAME: � TENAN7 NAME !f Commercial : • <br /> OWNER MAILING ADDRESS: srR�r ,�OX �j <br /> crtv �' sTnre vV� ti Z —ZZ� <br /> OWNER PMONE: OWNER EMAIL: <br /> CONTRACTO.R NAML: � U / /l.� <br /> CONTRACTOR ApDRESS: srR�r I�0 �Q�( <br /> �� r� �� � �A;,�n/�- LP z <br /> CONTRACTOR PHONE: 'Z 7'' � CONTRACTOR�MAIL: �ye f. /Y1�rje / / , CD� <br /> CONTRACTOR LIC,#(REQUIRED): „�7�N�� '7�D z CITY OF EVERETT�USINESS LIC.#(RE4UiRED): O <br /> PRIMARY CON7ACT; ❑OWNER �CON'iRACTOR ❑OTHER(Pleass Specffy) <br /> CON'fACTNAME: CONTACTPHONE: Z�-73b�-�SLr.�p <br /> . l)�'1�►l�f S L��.D1� con�racr enri�,�L: p�1y1�1 S.��oW� kr�w�r r, C�.o�Y) <br /> AOREEMENT T hereby cedUy that I have read and examined fhl�appBcaHon and knowthe same to be hue and conect. AlI provJslons oflaw.s aod ordlnances goveming ihiCs <br /> (ype of work wlllbe completed whetherspecliled hereln or not The gianHnp of a pemift doas nnt prc�sume to ghre authori4y fo vlotate or cancel Ehe provlsions oiany otherstate or <br /> loca!law regulaHng�constntctloR or the perfamance of constnrcftoa That f am aulhorized by tha ownerof this propedy to perform fhe waic for whkh applicatJon/s made and l <br /> complywlth the Stafe Contractors Law 9a.27RCWand 28a Zod WAC. <br /> Clry of Everett Olticlal Use Only <br /> . FEH � <br /> � �/��/ ° <br /> PERMIT# <br /> ., _l � `��'� �� <br /> OwnerlAu or zed Agen 3(gttafure Date (Revlsed�0/12/20�6J <br />