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tLC CCTRICAL PERMIT All PLIICATIION <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.govwww.everettwa.gov/permits <br /> ... :. . . <br /> PROJECT ADDRESS: /IR, *- / (/ &-aC 4 e <br /> BUILDING AREA(if residential,new construction,remodel, or addition) SF <br /> BUILDING TYPE: 0 SFR-DETACHED D SFR ATTACHED 0 DUPLEX 0 MULTI-FAMILY-#OF UNITS: -E1'COMMERCIAL <br /> USE OF BUILDING: <br /> . r�p {�p�+p <br /> l <br /> , ..... _.. .. .. .. .. .. .. ... �4��.0��.1P�145�`•YiT LS13l�+�_i'}4g DWI IItlGAii tiO^.1 <br /> tart <br /> CONTRACT PRICE OF WORK:$ 3'E5 <br /> NUMBER OF DEVICES(if low voltag ): <br /> FIRE ALARM? RYES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: vt S vt�/ !�. iii (Gtt w-, rEe--r. ZA-1 f <br /> td.rtyre b, ,� � — NO <br /> 1130 <br /> OWNER NAME: "kY //46/07--- TENANT NAME(If Commercial): -7-5& (� ,150/11113 7-1 <br /> OWNER MAILING ADDRESS: STREET <br /> CITY STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: 1/146Y <br /> CONTRACTOR ADDRESS: STREET /y4/1� /6e1-467- <br /> S <br /> CITY 74K0-1--10..)6,77, STATE - ZIP <br /> CONTRACTOR PHONE2E6"�'j ZO -5 CONTRACTOR EMAIL: it�l e, c 13�l�Lt`a�.Z � .. t 6-044 <br /> CONTRACTOR LIC.#(REQUIRED) SML gY0 P g,j CITY OF EVERETT BUSINESS LIC,#(REQU'° D): $ <br /> PRIMARY CONTACT: D OWNER --CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 1php r 3 S 3 <br /> ")v7 16174 CONTACT EMAIL: / 656 AAA . <br /> AGREEMENT::T hereby certify that!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/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 296.200 WAC. <br /> City of Everett Official Use Only <br /> FEE <br /> -- PERMIT# <br /> Owner/Authorized Agent Signature Date (Revised 90/9212095) <br />