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1•LE T[flC •4 L PERM I q JCA 4 11I N <br /> -,- ; CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 I (E) everetteps@everettwa.gov www.everettwa.gov/permits <br /> PROJECT mi'E dNF 040101 • <br /> • <br /> a6 <br /> PROJECTADDRESS, ryp5 E\ .Vct p( g (i <br /> U rti <br /> ; <br /> BUILDING AREA(if residential,new construction,remodel, or addition) 50 000 SF )V Li wad I A t 10 <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: COMMERCIAL <br /> USE OF BUILDING: I C r? <br /> ELEC'TRIICAL APPUCA ON 1NIFORMAT ON <br /> CONTRACT PRICE OF WORK:$ VbO .00 <br /> NUMBER OF DEVICES(if low voltage): t <br /> FIRE ALARM? 0 YES ` XNO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): t <br /> DESCRIPTION OF WORK: e_ CG.1�1 �()�( 5 1 rY v C f C 0 I, tAt f4.S S dit ca o% <br /> •,CONTAT;iNFORMATION- <br /> OWNER NAME: ti 4 e i',r\Gy TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET �j(.)(-)1.)y'{f <br /> W, c�i(lb 1�.d. (%(� <br /> CITY is 11 e✓t'tt STATE WA ZIP ! D . I <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: )V ef CO✓►'\ hG II <br /> CONTRACTOR ADDRESS: STREET 1( 3), 1-1-01,4 I u,V . U v' <br /> CIN Fe4f�Oh STATE ! 6 zip 6 3 O�/ <br /> t7 <br /> CONTRACTOR PHONE: 10 ter j 1 - 5 0 (t f J�7CONTRACTOR EMAIL: ) 1�,1 i� s1-` a'Gc 41, <br /> CONTRACTOR LIC.#(REQUIRED): V f✓7101 s'7 )/v A) CITY OF EVERETT BUSINESS LIC.#(REQUIRED): Q S51 `I <br /> ,...,r,..s.._.,s�,.w......,.V,;...��_.,..,r,-.,"..�..-x-�,d.,.,..,.u�,.�=,..y_.,..a...._.��,..,.:.�.w.,,...-�_,..�,-..,H...-.�.v.._.�.:........�.Y.___�__.�..,.....,....._z_���...�. <br /> PRIMARY CONTACT: 0 OWNER ,CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: ), 1 _3 ( - S V <br /> e'l(ee " )i n CONTACT EMAIL: `` f, r 4 <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be tfrue 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 l 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 296.20n WAC. <br /> City of Everett Official Use Only <br /> rFEE <br /> p X33 . BO <br /> PERMIT# <br /> Ip g E 01 - 05`-t <br /> Owner/Aut orized Agentnature Date (Revised 10/12/2015) <br />