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���c��r����� ������ ������Q�� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-889 0 � FAX 425 257-8857 � (E) everetteps@everettwa.gov� www.everettwa.gov/permits <br /> :. - .. . .........:........:. . ,. . . - <br /> . . ..,.:. ..:....._:___. :._... _�,r_.. -: . . , ...,.,...,,, <br /> .,. <br /> , .. . . . ; ..: : �R�J��'��`�'� q�9��R�lA'�'I���:�:: �. . � ;., . ... . <br /> PROJEGTADDRESS: � �Q�,� Q, �j <br /> BUILDING AREA(if residentiaf,new construction,remodel, or addition) SF ' <br /> BUILDiNG TYPE: ❑SFR-DETACHED ❑SFR-ATi'ACHED ❑ DUPLEX ❑MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE�F BUILDfN�: • <br /> , ..,., . . -�.. .: ... :.::... ..,:.,:...:.: .:.:,.,::..:._.,.....:.._...::...... ..:. --, .. .......... ,.. � • <br /> .. .. .. .:.�....: ...... ......:.... . <br /> , <br /> . �ELE�1"R1:CA9:APP�ICA'�'iON IN�OR9�tA7'�ON � . � <br /> COIVTRACT PRICE OF WORK:$ � <br /> NUMBER OF DEVICES(ifi low uoltage):� � <br /> FIRE ALARM? • E5 Ci�10 <br /> ASSOCIATED BUfLDIA1G PERMIT#(if applicable): � <br /> DESCRIPTI�N OF WORK; o l i <br /> .:,.:., ._.. ......: .... . . . . . ......... �, - - . .. . -. . ._. _ . . <br /> ..... ....:. .. �.:.... . .. ... . <br /> , ` -� . �.. .: :.� .CONTACT�iNFORMATION.-`.._: <br /> OWNER NAME: N � TENANT NAME(If Commerciaf): <br /> OWNER MAILING ADDRESS: s-rReEr <br /> C17Y STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: T Sl <br /> CONTRACTOR ADDRESS: s-rReEr — <br /> CIIY �� STATE ZIP ���I <br /> CONTRACTOR PHONE: CONTRACTOR EMA[L: „' <br /> CONTRACTOR LIC,#{REQUIRED}: , S �Q CITY OP EVERE7'f BUSINESS LIC.#(REQUPRED): <br /> PRIMARY CONTACT:��L7 OWNER Y ONTRACTOR ❑OTHER(Please Specify) <br /> CONi"AC7 NAME: CONTACT PHONE: �,Z� 3�- 8) � <br /> a �"'}�`G,�t� �"'�{)Z„C{,� CONTACT EMAIL: � �� <br /> AGREEMENT.•T hereby certify that 1 have read and examined this appiication and know fhe same to be frue and corr ct. Al1 provisions oflaws and ordinances governing this <br /> type of work willbe complefed whether specified herein or not. The granting of a permit does not presume to give auti�orify fo violate or cancel the provisions of any other sfate or <br /> locallaw regulating consfruction or the pe�formance of construcfion. That I am authorized by fhe owner of this property to perform the work for which application is made and! <br /> comply with the Sfafe Contracfors Lav✓98.27 RCW and 296.200 WAC. <br /> City of Everett O�cial Use Only <br /> FEE <br /> PERMIT# <br /> 3 .1�• '� � { L/ � �a � <br /> Own dA AgentSignaf e Date (Revised 10/92/2015) <br />