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. .. . CI`fY OF EVERETT PERMFr SERVICES <br /> 3200 CEDAR.STREET,EVER 'l T,WA 98201 <br /> (P)425-267-8810 1 FAX 425-257-8857 I.( )everetteps@everettwagov 1 wvmeverettwagov/permits <br /> PROJECT ADDRESS: A11 '. , ...l <br /> BUILDING AREA(if residential,new construction,remodel,or addition) �fr SF <br /> BUILDING TYPE: 0 SFR-DETACHED El SFRATTACHED El DUPLEX 0 MULTI-FAMILY-.#OF UNITS: OMM I CIAL f <br /> USE OF BUILDING: ' J <br /> .,. yw, ib ��q��ppp pi!yg,s yip pg iiy <br /> CONTRACT PRICE OF WORK:$ 1. b • - <br /> NU LIBER OF DEVICES(lf lowvoltage:: <br /> .FIDE ACM?` C3 YES .10 <br /> ASSOCIATED BUILDING PERMIT# ff a.,licable's <br /> DESCRIPTION OF WORK: j MS 71-1.+W ' _ft— 0 V <br /> , i�T CT FO 16 ....*3 <br /> 'V1 El NAME.. ` f TENANT smile <br /> (ifCommercial .ar ..: . . : ,. ., . ,,, <br /> OWNER MAILING ADDRESS: sister_ <br /> CITY STATE ZIP <br /> \OWNER PHONE: + OWNEREMAIL: <br /> CONTRACTOR NAME~. ..... (4' � s t.r 1. (-)... <br /> ' <br /> CONTRACTOR ADDRESS: soma .'.< ' .ca Al <br /> OTT fa„. r STATE W.f - <br /> CONTRACTOR PHONE. �tt . 7t- � CONTRACTOR EMAIL: 9M .. ....` t. 0 CZ, vel, m <br /> CONTRACTOR I..IC.#- "QUIRM. -I CITY OF EVI=RE't T SUSH4ESS UC. (REOU1RED): <br /> PRIMARY CONTACT: El OWNER *ONTRACTOR U OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 'j ti�- -- c <br /> "w- CONTACT EMAIL: .T <br /> lis w �►��___ . --�--�-------"°'� <br /> AGREEMENT*ENT T hole*oestip Ma 1*we read sod ewsiarhredWeappReaffen*dim*tbe same tote iwfsnd pct A411 *ns of laws ead Ofergalloesgooming this; <br /> type dm*will be aorapietel whether spect d her*fft or not The gaantingofa perm dom road gowns to•g author y to vfn or camel the provisions oto other state of <br /> Iacetrawregutating coristelotton or the pententanco of con*onto. That lam aethrei-srd by ihe owneroftkas pappotty to perform the work#sr eltich apgtication!smote-ad l <br /> comply rah the State Contractors Law 18.27MIWand.29020hirtga <br /> MY ofEuetezit O IcaeI Use Only <br /> .7g. 5_2 <br /> PERMIT# <br /> _....... ,,,,,,f <br /> 2.2b' <br /> ,;7-..15 c. I 7 , <br /> OwnarlAtatlaorized Agent SignLure Date (Rmiisatl/0/62915) <br /> 1O1f). <br />