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W' _.C.I...• I rtit.,;AL FtIIMIT AFILICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> (P)425-257-8810 1 FAX 425-257-8857 1(E)everetteps@everettwa.govf vAlvw.everettwa.gbvipermits <br /> PROJECT SITE INFORMATION <br /> cii. <br /> PROJECT ADDRESS: 2607 Pine Q L <br /> BUILDING AREA(if residential,new construction,remodel,or addition) 1082 SF <br /> BUILDING TYPE: 0 SFR.-DETACHED la SFR-ATTACHED 0 DUPLEX CI MULTI-FAIVILY-#OF UNITS: 0 COMMERCIAL <br /> USE OF BUILDING: Move light fixture in bathroom (centered) <br /> ELEcTRicAL APP4atATioN INOoRmATioN <br /> CONTRACT PRICE OF WORK:$ 500 <br /> NUMBER OF DEVICES(If low voltage) -IT <br /> FIRE ALARM? 0 YES 12I NO <br /> ASSOCIATE!)BUILDING PERMIT#(if applicable): <br /> DESCRIPTION OF WORK: Move light fixture in bathroom (centered) <br /> CONTACT INFORMATION. <br /> OWNER NAME: Lau Bryant TENANT NAME(If Commercial): <br /> OWNER MAILING ADDRESS: STREET 2607 Pine St <br /> cm. Everett <br /> STATE WA zu. 98201 <br /> OWNER PHONE: 425-750-4523 IOWNER EMAIL: comfort@allciirriate.net <br /> CONTRACTOR NAME: All Climate Inc. <br /> CONTRACTOR ADDRESS: STREET 17527 NE 67th Ct <br /> erre Redmolnd srATE WA zip 98052 <br /> CONTRACTOR PHONE: •425-746-3077 1CONTRACTOR EMAIL: comfort@aliclimate,net <br /> CONTRACTOR Lie,#(REQUIRED): ALLCLCI-1966C6 1CTIY OF EVERETT BUSINESS LIC.#(REQUIRED): 040122 <br /> PRIMARY CONTACT: DOWNER Ea CONTRACTOR E3 OTHER(Please Specify) <br /> CONTACT NAME: CONTACT PHONE: 425-746-3077 <br /> Susan Mathews CONTACT EMAIL: comfort@allciirnate.net <br /> AGREEMENT:I hereby cattily that 1 have read and examined this application and know the same lobe hue and correct Alimovisions of laws and ordinances governing this type <br /> of work will be completed whether specified herein or not The granting of a permit does notpresume to Om authority to violate or cancel the provisions of any other state or <br /> local law regulating construction or the performance of cormtruebbn. That I am authorized by Me OWfler of this property/ape/fort»the work for which application is made and! <br /> comPlY vdth the State Contractors Law 1'8.27 RCW end 296.200 WAG. <br /> / City of Everett Official Use Only <br /> 7 <br /> /0— <br /> (7,7. <br /> E \11 2- otA 4 <br /> Ownef/Authorized Agent Signature Dale (Revised 9/23/2016) <br /> -.._..."' <br /> I , <br />