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���������� ������ ��������� <br /> C1TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREi-f, WA 982D'1 <br /> (P)425-257-8810 � FAX 425-2�7-8857 � (E)everetteps@everettwa.gov� www.everet . o ermits <br /> �: �.. _ .... .... __ .:�__..�....._.� __,..x_�n.. .. ..: . .. .. .,. <br /> . : �1���D���' ���'� ��l��lf��i�'�'I��I' . <br /> ._.... ... ... . <br /> PROJECTADDRESS �`' ,Q, 0. ; Q� , �..vtr +� �(� ^' cJ�\ <br /> Bi11LDING AREA{if residential,new construction,remodel,or addifion) Z•O�G SF - <br /> BUILDING TYPE: 0 SFR DETACHED ❑SFR ATT'HCHED ❑DUPLEX CI MULTI-FAMILY-#OF UNI 5: OMM CIAL <br /> USE OF BUILDWG: s�` �S �a.0� ' °('Ct' �t r J C ` <br /> .: . ., ..-. .. . . -... ... . . _ ... <br /> ....... ... ..: <br /> . ..� .__._ . . : .� <br /> � • ' '. EL��7�13.�C.A��lPP�dCA`9'�09e9 �����MASt'80N <br /> CONTR,4CT PRICE OF UVOR6C:$ '� \ � <br /> IdUMBER OF DEVICES(if low voltage):� � <br /> FIRE ALARM? YES C7 N� <br /> ASSaC1ATED BUILDING PERMIT#(if applicable): <br /> DESCR(pT1��1 OF 11VORK: � ` � �V�;C..�S h '� ` <br /> S 0 �ro+�.�o rr a� ¢ o.,S v � �e�n(� g.w. �fL - <br /> �� <br /> . ---: ........: . . . . - .. . . _ _. _. . . . _ ... <br /> . _ ,.. :.. .. ,... . ....... . . .� . <br /> .. . . . . <br /> , . � . . . :: ,CONTACT�II�FOR_M�#'t'IAN. .._ . <br /> OWNER NAME: �,.Q„ � p TENANT NAME(!f Commerciaf): <br /> OWNER MAILiNG ADDRESS: s�eEr '�j�D w'� "`+�0 <br /> CTiY {;i�/P�L � STATE �'�• - ZIP � ,G.,O <br /> OWNER PHONE: OWNER EMA[L: <br /> CONTRACTO.R NA1V(E: S!QJ1.,�r0��' <br /> GONTRACTORADDRESS: srReEr a ��p '3'D <br /> _ ciTr �v�v i`I� srnre �D�, ziP � �� <br /> CONTRACTOR PHONE: 2 ..q,3 — �� l7 O CONTRACTOR EMAIL: �D(1 �qli'+'O�n'C S �(�Q„ <br /> CONTRACTOR LIC.#(REQUIRED): �e��r�� Z � CITY O�EVERET7 BUSINESS LIC.#(REQUPRED): �L L. <br /> PRIMARY CONTACT: ��OWNER I�CflNTRACTOR `CI,OTHER�(Please Specify)� <br /> CONTACT NAiVIE: CONTACT PHDNE: 1�^ �jSQ— (�j'„� <br /> �� Q� ; � CONTACT EMAIL: "r h S�q,�C0� ' C .C(t <br /> AGREEMENT.�T hereby cerlify that I have read and examined this appiication and know the same to be true and correct. All provisions oflaws and ordinances governing this <br /> type of work will be completed whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br /> local law regulafing construc6on or the perfom�ance ofconslruction. Thaf I am authorized By the owneroffhis prope�fy to perform the work for which application is made and i <br /> comply with the State Confractors Law 98.27 RCW an.d 296 200 WAG. <br /> City ofEveretf Official Use Only <br /> FEE <br /> � �2� t3a <br /> PERMIT# <br /> r � � � � � ��� r lO� . <br /> 0 r/A t rize genE igna re Date (Revised 90/92/2095) <br /> ,���w� <br /> ' � � `A, <br /> ��____/ <br />