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—,LECTR CAL PLRMIIT 1 LIICA ilk ION <br /> h< CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1 (E) everetteps@everettwa.gov 1 www.everettwa.gov/permits <br /> PROJECT ADDRESS: 7 2 0 1- Ev4r9 rE.eii LJ 0..y S ta.t - C- <br /> BUILDING AREA(if residential,new construction,remodel, or addition) SF <br /> BUILDING TYPE: D SFR-DETACHED D SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: .COMMERCIAL <br /> USE OF BUILDING: /e44 4,47 / S f r 1 to 4 L.L.- <br /> .: •f L ti"MAL APPL Ind l'1 • 8NF01 1 <br /> CONTRACT PRICE OF WORK:$ 2. /Op o <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? D YES J .NO <br /> ASSOCIATED BUILDING PERMIT#Of applicable): / 7/0 - 9 3 <br /> DESCRIPTION OF WORK: vt $ k u / 2 trl 1 � L, 1116' / 2 GFc ! 2.. <br /> s 2. E x . <br /> OWNER NAME: /9!e4G liter► TENANT NAME(If Commercial): &C.A.✓1 J- <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: 2® CD 3 3 S -on.3 OWNER EMAIL: Y <br /> CONTRACTOR NAME: _6 0.4...t4 k ,c- <br /> CONTRACTOR <br /> C'CONTRACTOR ADDRESS: smear f Oo� L1 ,2 pa ' I <br /> CITY Lii. k e SJWWW STATE UM ZIP Cris <br /> CONTRACTOR PHONE: 2.0<O- T'5 3 - ( V 2 9 CONTRACTOR EMAIL: Se I C.6C—detrid0 C, c Gals.�I A <br /> � " <br /> CONTRACTOR LIC,#(REQUIRED). je�(y1,44 CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> ...,,M�_�-�_�•,�._�.,,..,,:::�- _.,..:�....�.. �n,.<�.....,..�-<.- � <br /> PRIMARY CONTACT: XOWNER 0 CONTRACTOR 0 OTHER(Please Specify) / <br /> CONTACT NAME: ( ( t1 CONTACT PHONE: 2 (P s5 3 - Co 5 2 ..,, t <br /> { j/l�► {��,1/�,i-F. 1 CONTACT EMAIL: d(l LIQ odG tQ Cos •+ <br /> .4.4 / � 94 <br /> AGREEMENT T hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws 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 regulating construction or the performance of construction. That I am authorized by the owner of this property to perform the work for which application is made and I <br /> comply with the State Contractors Law 18.27 RCW and 296.206 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> b5, <br /> PERMIT# <br /> Ii / 2/5/ ig C9)16l - loy <br /> Owner/Authorized Agent Signature Date (Revised 90/9212095) <br />