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i . <br /> ������.���� ����fl� �������� o�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9820'1 <br /> (P)425-257-8810 J FAX 425-257-8857 � (E)everetteps@everettwa.gov� www.everetiwa.g�v/permits <br /> . : :_-. ,. . _. . ....:..�..... ....:. ...:.... ..._.._,. , ,.,.,....._ . <. . ..:. ,. _ <br /> . ; :� �R��9��'�'��Q`�'� 9���RM�,'�'9�8t�':"' �� :.. :�' . .._. _ <br /> � :. <br /> .. . .:. . ... . . .. . . . , <br /> PROJECTADDRESS: ' ` � � � �I <br /> BUILDING AR�A(if residentiat,new construction,remodel, or addition) � SF � <br /> BUILDING TYPE: ❑SFR-DETACHED ❑SFR-ATTACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: COMMEFZCIAL <br /> USE OF BURDtNG: � � • <br /> ..;._ .. _ . .�.. .: ... :.:.... ..>:.:....:.- ..�._,;:...::.:_:...:.-....�.,.,..,,... .., ., ......... .,._ ....:..:..�._ .._ - - . � - - <br /> . _ .... ..,._. .. .._.,. : .: . ... <br /> : ... . <br /> � . _: ;: . : : •: :...�EL��7"It9CA�:APP�dCA`�'1�N �I�F�R6bflA'�'IOA�1 . . , <br /> ,.._ . ..__. ._ .. .. . .. . _ . <br /> COAITRACT PRICE OF WORK:$ - � 7 � <br /> �tUMBER OF DEVICES(if low voltage):� <br /> FIRE ALARM? ❑YES ❑1V0 <br /> ASSOCIATED BUILDIAIG PERMiT�#(if applicable): <br /> DESCRIPT[OPI OF WORK; '� � � <br /> ,..: :. .... ......: .... . . . -....;.. .;....: ...;.. .C - - . . . . _. . - _.. . .. . <br /> ` � ` -' - ._.: :: ..,:��NTACT-INFORMt#T1AN.. '�.:`. . <br /> OWNER NAME:�� � TENAN7 NAME(!f Commercial}: <br /> OWNER MAILING ADDRESS: s-trt�r .� . �c� <br /> , A ry�(,� <br /> Cl]Y � 1 STATE �� ZIP � V !-�,+�V <br /> OWNER PHONE: OWNER EMAfL: <br /> CONTRACTO:R NAME: � ccr ' G�. I.o- <br /> CONTRACTOR ADDRESS: srne�r • � • �1–I' O <br /> CITY �j �y .� STATE �� ZIP� 4 <br /> CONTRAGTOft PHONE: �"� CONTRACTOR EMAfL:� �, " A) � <br /> CONTRACTOR L(C,#(REQUIRED): S�"�G $�'� PCt� CITY OP EVERETT BUSINESS LlC.#(REQUfRED):VJr O l <br /> PRIMARY CONTACT: �C]OUVNER CONTRACTOR ❑OTHER(Please Specify) <br /> CONTACT NANIE: CONTACT PHONE: L-f'p`�,'S —.`j �� -- � � � <br /> ��1 N ��5�� .�/ CONTACT EMAIL: <br /> AGREEME�JT T hereby certify thaf 1 have read and examined this application and know the same to be true and correct. AU provisions oflaws and ordinances goveming fhis <br /> type of work will be completed whether specified herein or not. The granting of a permif does not presume to give authorify to violate or cancel the provisions of any other state or <br /> local law regulaSng construction or the performance of construction. That!am authorized 6y the owner of this property to perform the work for which application is made and l <br /> comply with the Sfate Contractors Lav✓98.27 RCW and 296 200 WRC. <br /> City of Everett O�cia1 Use Only <br /> FEE � — <br /> • � ��� , � <br /> PERMIT# <br /> �13-- j`� � �� 1�� D�� <br /> OwnerlAufhorized Agent Signafure Dafe (Revised 90/92/2015) <br />