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0� , (1 a� 493 <br /> //� ELECT if MAL PERMIT APPUUCATHON <br /> - CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 I (E)everetteps@everettwa.gov I www.everettwa.gov/permits <br /> ''L'.2:7....;:,....::=!:;.:.-;.:' <br /> '`:..:..u..l:. ..:1..,t..... •. .. .. .. .... ..... >. .-. ...... o-;rdr-d.r:h'1:.tr..:.:tN,:.).v:.. Y:.s:.-.....( -...x.., ... .. .a ....... .. ... '1:.o -. ... a <br /> PROJECT ADDRESS: Li C)..;...,(1 ,.t � Co [Lk vn+, ,[V...'"', <br /> BUILDING AREA(if residential,new construction,remodel,or addition) SF <br /> BUILDING TYPE: CI SFR-DETACHED CI SFR-ATTACHED El DUPLEX I-1 MULTI-FAMILY-#OF UNITS: M COMMERCIAL <br /> USE OF BUILDING: r•0g-I 6 EVE' 7T ' <br /> ai>isi.7 .•J•.•-. { 9. rns�.:•.� �++...:�..-.• _ .t.. wt)�..: •.r.. _ e <br /> .��. � ._ tr�.:ic.p�•.:.•..,r:.E"s,.x-::;e:i4�:�:'. <br /> .1.': ::•7:,"::::::.7 .,... ... .. •=1: <br /> t .. ..t:.1.1.2"1 ";.F.:1.0010:10:4::..^.•l•.'«C'F•i::.1:.v:tY.^...•iiC/1•�... C. tl.C'...; �.n.. .....4 i'....5•. -..ear t..... . <br /> CONTRACT PRICE OF WORK:$ —J�) 17 cO • <br /> NUMBER OF DEVICES(if low voltage):. <br /> FIRE ALARM? ❑YES NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): Ly_� <br /> DESCRIPTION OF WORK: S1 (A--"'rn . ,(°'�L4 u) o "' ' wo% <br /> /14)/ f Prr) )4L )4 )1 o -ca L- • <br /> V <br /> • <br /> 777X P iiiOM 0.41 "Tool. 1 17x!0 eATIDA,15 . <br /> .,. . -z. . .. .'.> .- <br /> -. ;. ._. CONTACT INFOt;MV ATION:... . .. . ' r. .. ..:- <br /> OWNER NAME: TENANT NAME(If Commercial): BC.EbJ6 <br /> OWNER MAILING ADDRESS: eraser po &ox37(7 <br /> CY .5e iTL + STATE ` Zioyi <br /> /2V-2267 <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: geNE& V 5ne ue.r/a/t.. <br /> CONTRACTOR ADDRESS: STREET Po Box 440 <br /> CR /a ,e�6,�/ <br /> Y int/1 /L7 29 small* ZIPgg.2L/ f <br /> CONTRACTOR PHONE:426-214-6144 CONTRACTOR EMAIL: kibei, H'mmEJ i2 kit-1/v'r1 60m <br /> CONTRACTOR LIC.CREQUIREDI: 6EA/Eg c..1. -y0 z CITY OF EVERETT BUSINESS LIC.#(REQUIRED):0210 <br /> PRIMARY CONTACT: 0 OWNER El CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 204)-73 f-4 5440 / ' <br /> . D X14!5 C&)+/I] CONTACT EMAIL: DENA'1S,C.Kow a l�.iEWiT. C.:.am <br /> AGREEMENT:T hereby certify that 1 have read and examined this application and know the same to be fine and correct. Ali provisions of laws and ordinances governing this <br /> type of work wilt he completed whether specified herein or not. The granting of a permit does not presume to give authordyto 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 proper-1V°perform the work for which application is made and 1 <br /> comply with the State Contractors Law 18.27RCWend 298.200 WAG. <br /> City of Everett Official Use Only <br /> FEE <br /> , 3 ids -, <br /> PERMIT# <br /> ,/ / r-2 /g E I(665--110 <br /> Owner/AU or zed A.ent Signature Date (Revised 10/12/2015) <br /> / . <br />