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04/25/2006 05:21 2532882156 GARNER ELECTRIC PAGE 05/16 L T CAL PERIIIffiT AIOLI1CATION ( CITY OF EVERETT PERMIT SERVICES 3200 CEDAR STREET, EVERETT, WA 982011 (P)425-257-8810 FAX 425-257-8857 f (E) everetteps@everettwa.gav J wvvot.everettwa.gov/permits A PROJECT ADDRESS: a&S _ i 1J 4 BUILDING AREA(if residential,new construotlon,remodel,or addition) SF BUILDING TYPE: KSFR-DETACHED D SFR-ATTACHED 0 DUPLEX 0 MULTI-FAMILY #OF UNITS; 0 COMMERCIAL USE OF BUILDING: • CONTRACT PRICE OF WORK:$ O � NUMBER OF DEVICES(if low voltage): FIRE ALARM? ❑YES NO :ASSOCIATED BUILDING PERMIT#(if applicable): DESCRIPTION OF WORK: _In) p -- - CONTACT INFORNM,A1IION . OWNER NAME: TENANT NAME If Commercial): OWNER MAILING ADDRESS: STREET 1(6?4- rd y .. _.a. cin 4.P ,' sTAre zip a OWNER P1101OWN _�. RiL'N`Y1'vtn,mw,mc„.n,..m...n......,..w.aal T,,:d6F.�T..qan'.a-.....t..�....»........•......................,a...„.....................—`� CONTRACTOR NAME '1E�arY ''�e)�r' �'�(�•�1-In�Y �4 a• L_L. CONTRACTOR ADDRESS: sTRE@T ' 0qq r � ,, • u 1 �Q CITY jti(0li`U►f STA.1%\,S M ars /1 1__._, CONTRACTOR PHONE: 2, - - r CONTRACTOR EMAIL: r A s C. (0) _\E 034•ew% CONTRACTOR LIC.#(REQUIRED): - 1,,L.-k l CITY OF EVERETT BUSINESS LIC. 2909 PRIMARY CONTACT: � ,,. In OWNER 1 CONTRACTOR 0 OTHER(Please Specify) CONTACT NAME: CONTACT PHONE:9y ... 23)3 r' e r °� w'�✓ 1 J CONTACT EMAIL: ' -cte , AQR lTMENT. T hereby certify that I have read and examined this application end know the same to be true and corlpat, An provisions of laws and ordinances governing this type of work will ea completed whether specified herein or not. The granting of a permit does not prosume to give authority fo violate or cancel the provisions of any other state or local law regulating construction or the pertbrmance of construction. That I am authorized by the owner of this property to perform the work for which application is made end I comply with the State Contractors Law 18.27 ROW and 296.200 WAC City of Everett Official Use Only FEE q-S I rr PERMIT# 2 .4) JA 'moi EVc009 ~'0t3 Owner/AuthorI7.r•,d Agora Signature Dale (t vised 90/12/2015)