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A" r .LLECT CAL PERMT AAALICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> (P)425-257-8810 I FAX 425-257-8857 1 (E)everetteps©everettwa.gov J www.everettwa.gov/permits <br /> PROjE `':SITE WOO MATT• <br /> PROJECT ADDRESS: 331 Ceal-g_. <br /> 5T" <br /> BUILDING AREA(if residential,new construction,remodel, or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED 0 SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: L+3"COMMERCIAL <br /> ,USE OF BUILDING: 13 <br /> JJ <br /> -: OTR.ICAL APPU TION INFORMATION <br /> CONTRACT PRICE OF WO :$ 2S-CC) , aJ <br /> NUMBER OF DEVICES(if low "ALM <br /> FIRE ALARM? 0 YES L3"Nt� <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: i'6L Dcss-?E 6115 AE7Z. /A-1L5.77/1-4- 3—D 14- <•eCOYT <br /> 1 7W--/ fE t iF fj/lACH—t/tf� <br /> CONTACT INFORMr4TIONI.'.. - - <br /> • <br /> OWNER NAME: TENANT NAME(If Commercial):cS-cc,7 -# /77— ,giZe ',G/ <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: ....TS C-G G�/2 LG /vt. <br /> CONTRACTOR ADDRESS: seer 2 3 Qp .Z_ 13,W,(.C, -72_, /12/D <br /> CITY (Be-H*7 C_ STATE l4J,4 ZIP 'OOZ/ <br /> CONTRACTOR PHONE:Ales: va-5 CONTRACTOR EMAIL: ,�,Sc����-�r-/C /1 (dam a <br /> CONTRACTOR LIC.#(REQUIRED)• CITY OF EVERETT BUSINESS LIC.#(REQU ED);537 F/7 <br /> PRIMARY CONTACT: 0 OWNER 13.I'63NTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: y2s--7.-e's,_863o <br /> \T�� 6-e-vis CONTACT EMAIL: /S�l�C f�.l C " ,y . Ccrw-.._ <br /> AGREEMENT:T hereby certify that I 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 lam 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 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> � ( SO <br /> T PERMIT# <br /> Fc4 r` <br /> 4111111111e . <br /> •tho' •gentS'• a Date (Revised 10/1212015) <br />