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LECTR CAL PERMIT 4 ! .CATION <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 j www.everettwa.gov/permits <br /> ` PR'dJEC:T SITIE II \;F It r AT101% <br /> PROJECT ADDRESS: t-49)-)2(2- 1 V Ij(CQ 9Y• <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: 0 COMMERCIAL <br /> USE OF BUILDING: <br /> P <br /> E001110 <br /> CONTRACT PRICE OF WORK:$ 3 (C}C).0 ' <br /> NUMBER OF DEVICES(if low voltage): <br /> FIRE ALARM? 0 YES 0 NO <br /> ASSOCIATED BUILDING PERMIT#(if applicable): M b b-- O gi <br /> DESCRIPTION OF WORK: ()Cul c� ^v.f� VQk'i'� 4r O. 4-L S S !Ck-- R -4P <br /> -\— ,(\,,,._„) S-2stt, t ,A1ii Ds--f <br /> . <br /> _:. .: . -. . ,;,: <br /> • <br /> - .:..C _O <br /> ..1'AGtINFORiVIA'i'ION:.' ' - - <br /> OWNER NAME: TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET <br /> crrr STATE ZIP <br /> OWNER PHONE: OWNER EMAIL: <br /> CONTRACTOR NAME: GCs( <S)Ste.. ... . ` 767. . .- ( C ._ <br /> i <br /> CONTRACTOR ADDRESS: STREET S rh) i-0- ----i-0- ----CIN (.k l STATE �/ �1" ZIP ? /s <br /> CONTRACTOR PHONE: ' /CONTRACTOR EMAIL: ' <br /> CONTRACTOR LIC.#(REQUIRED)• CITY OF EVERETT BUSINESS LIC.#(REQUIRED): <br /> __-_...--_ u <br /> PRIMARY CONTACT: 0 OWNER CONTRACTOR 0 OTHER(Please Specify) <br /> CONTACT NAME: e CONTACT PHONE: VS"- 43 /g-�")'3 <br /> �r J�-��-� �� CONTACT EMAIL: `\LIL SPX-:e/kcjvcC Q Lct[ `ce , _.. <br /> AGREEMENT:T hereby certify that I have read and examined this application and know the same to be true and correct. All provisions oflaws 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 /> . 41g °,9- <br /> 1 . .... .. _. .. e <br /> PERMIT# <br /> / f IH I (60 b- 1 611 <br /> Owner k ufhore. •g ntSi. ure Date (Revised 10/12/2015) <br />