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������.'��� ������ ����.����� <br /> CiTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)�425-257-88'!0 � FAX 425 257-88�7 � (E)everet�eps@everettwa.gov� www.everettwa.govlpermits <br /> , . _,�. . .. - - .. <br /> t.::.: ....._.:. . .. . .. :...: ... ... IPROJE�7'SpT� Ii+1�.ORttU1,+�7'IOW . _� <br /> _.:_.. ... .. . �.....� .. .,_ , , � ...... ..,... <br /> PROJECTADDRESB: �L ��' <br /> Bi11LDING AREA(if residential,new construction,remodel,or addition) SF ' <br /> BUILDING'fYPE: ❑SFR-DETACHED ❑SFRATtACHED ❑DUPLEX ❑MULTI-FAMILY-#OF UNITS: �COMMERCIAL <br /> USE OF Bl](LDINCY: j��� `� y,.� • <br /> � 'ELEGTRIC.AIL�,ApPLICATMON�1NF6Rll1�IfATtON�' <br /> . . <br /> : <br /> : <br /> ;:e.�..�. ."::�... �_:�. ,._...:�.�.r -:'.:': ...: '��.5.:' �'1:n`.n. 'st�:•3�:. ..1.� <br /> . . ....� ._.:E.u:d�y...�._.�}.,,,.,.r.-.:.....:ai ...i ..,�•,,n.:,...tc,.,.. .n�:..��..�.,.:.vc:�:_..t.....•.�. - ' _ _ _ <br /> . ...�.n.....� ..tir.�. . .... .�.... .. .. .._ . �.... ... <br /> CONTRACT PRICE OF WORK:$ �f� _--- • <br /> NUMB�R OF DEVICES(if Iow volfage):� <br /> F1RE ALARM? ❑YES � <br /> ASSOCIATED BUILDING PERMI7#(if applicable): <br /> DESCRIPTI()N OF WORK: C�GaI f� <br /> ::..,: _, ._:.. ..:.�_ . . . . _ - . - - - - . _ ... . -. . .. . _ . - <br /> .:. ..., _.._.:: _ . • <br /> .....- � -- � � p _ _ _ _ <br /> . . ... ._... �. . <br /> .... <br /> � --==- . . : : . .. .,..�. ..._� .___t �.:.. - <br /> . .._..:, .: .._.._ , __ �_ :_ ::::.:CO1�T <br /> ACT:INFOR T10N: <br /> OWNER NAME: � � j G� TENANT NAME(ifi Commerciat): �lZs .i c�� <br /> OWi�IER MA[LING ADDRESS: srReEr 2� � <br /> CIiY STATE ZIP <br /> OWNER PHONE: �dt/j 2CX0"'� '��7 OWNER EMAtL: <br /> CONTRACTO:R NAME: �jl�,f, S.tC '.�dv� iF- � <br /> CONTRACTOR ADDRESS: s-rReer �.�"� Gec�G� � <br /> . � <br /> CITY � � �-" STAiE Z(P <br /> �ONTRACTOR PHONE: 7ZS��J�G,2� CONTRACTOR EMAIL: [�SK � G 2-rrG..i � �<��oLv� <br /> CONTRACTQR LlC.#(REQUIRED):, �,�G�.�+oZGg GITY OF EVERETT BUSINESS LIC.#(REQUfRED): ��/ <br /> PRIMARY CONTACT: OWNER ONTRACTOR ❑OTHER(Pfease Specify} <br /> CONTACT NAME: GONTACT PHONE: �� ---� �+_� �� � <br /> �� �� CONTACT EMAIL: <br /> AGREENlENT T hereby certify thaf I have read and examined this application and know fhe same to be t�ue and correct Atl provisions oflaws and ordinances goveming this <br /> fype of work will be completed whether specified herein or not. The granting of a permit does nof presume to give authority to violate or cancel the provisions of any other state or <br /> locallaw regulating construction or the perfatnance of constntction. That!am authorized by the owner of this property to perform fhe work t'or which application is made and! <br /> comply u�ith ihe State Contractors La+rv 78 27 RCIN and 296.200 iNl1C <br /> City ofEverett O�cial Use Only <br /> FEE <br /> � ✓� , ��/ <br /> PERMIT# . <br /> y � _20�'� � o�- � �2 <br /> Owner/ utfiorizedAgentSignafure Dafe (Revised 90/92/2D�5) <br />