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,�. ECT JCAL PERMIT - LICATION <br /> ION <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@evereftwa-gov www.everettwa_gov/permits <br /> CT• <br /> PROJECT ADDRESS; 4,,zs- --e-1Yr <br /> BUILDING AREA(if residential, new construction, emod ,or addition) O. Sr <br /> BUILDING TYPE: El SFR-DETACHED 'SFRATTACHED El DUPLEX•• El MULTI-FAMILY OF UNITS: )=I COMMERCIAL <br /> US>r OF BUILI?ING: 7-j_. <br /> •��EI'�'�',�I<�i�L�1P•F,'>E;.)i(;�`U'yQ� �DRNf�T� <br /> CONTRACT PRICE OF WORK:S. *3 6;7 <br /> NUMBER OF DEVICES(€f low volta'e: • <br /> FIRE ALARM? QyEs ' O 1 <br /> ASSOCIATED BUILDING PERMIT#(If applicable): • -_._.. <br /> DESCRIPTION QF WORK: r� aah C CT'''S -—t 4- Pen",,NC <br /> a <br /> • -. ..0..14T4T#4`" N.F• RNIA1'!p i••- •• . >.--- . „ :..• . .... . <br /> OWNER NAME; A tiNi-4tx. TENANT NAME(If Commercial); '►`}1 A <br /> OWNER MAIUNG ADDRESS: s-rRe�r• fa��g tom'.4 . ,• lei • <br /> CITY ��&�' `'- STATE LAA ZIP - �fl/ <br /> OWNER PHONE:$6-3-"/ 1- 74*8 - OWNER EMAIL: o,_. . T>s.� �- GoAk. <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS: STREU do 3 <br /> Acm, A'Y�k-��= srATE ZIP e1 / <br /> CONTRACTOR PHONE:4.2.4c- 8 S-•. t$ CONTRACTOR <br /> CONTRACTOR LFC.#(REQUIRED: • G ia � CITY of EVERETT SUSINESs LIC.#(REQUIRED.a s�� <br /> .. ..e+r...--..s�..� _�_'�.-.Sr-�.+r_=¢=—:.Y:7 ........_..... - —-bea-�ic__._w.. H.nac=e=_ !'_'�_.�r,�r•*'r"+-"^5..... ., . -. __..,.....4 vn�..r.v T:i1-r.,_...y.�... -_ <br /> PRIMARY CONTACT: n OWNER .CONTRACTOR C7 OTHER(Please Specify) <br /> CONTACT NAME: - . CONTACT PHONE. S. t�.ff j"- •S"..//'. <br /> • -•aJ � iG"5��..� CONTACT EMAIL:--0442.0.,•E" a 4,-.Et.,C G. )1/44e'r <br /> AGREbJENT:T herebyc Aily that I have read and examined this ex oration end brow the same to be Fere and comet All provisions of laws and 0rrilnances gowning this <br /> type or wattled.be completed whether specrfled.herain or not. The granting of a permit doee not presume to give ar,thorfly to violate or cancel the provisions of any otherstete or <br /> focal law regulating construction orthe performance of conafruction. That am authorized by the owner of this property to pertain the want for which application is made and I <br /> comply with Ma Stets•Confrectars Lew 18.27 ROW end 29&200 WAC <br /> City of Everett Official Use Only <br /> FEE <br /> C <br /> O• <br /> ,# 4 i � -r� � g�o - k23 <br /> Owner/Author xed Ag at Signature Dale (Revised 10112/2015j <br />