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QWNE I APP.PHONE: 206-631-9060 /APP.EMAIL:mannyeco@gmall coin <br /> 'Required for Work in Public Right-of Way <br /> CONTRACTOR NAME: <br /> CONTRACTOR ADDRESS:STREET <br /> CrT`I STATE LP <br /> CONTRACTOR PHONE: CONTRACTOR EMAIL: <br /> CONTRACTOR LICENSE#(REQUIRED): EVERETT BUSINESS LICENSE!(REQUIRED): <br /> Xn OWNER/APPLICANT n CONTRACTOR u OTHER(Architect, Engineer, Etc) <br /> PRIMARY CONTACT:Manuel and Susan Eco <br /> CONTACT NAME:Manu I and Susan E�co / CONTACT PHONE:206-631-9060 <br /> ,'1 v <br /> CONTACT EMAIL:manny eco@gmail coin <br /> ACKNOWLEDGEMENT I have reviewed this application and confirm the information contained herein is true and correct Work done pursuant to this permit must <br /> comply with current federal state,and local law The granting of a permit only authorizes approved work and no deviations therefrom Deviations must first be <br /> authorized in writing from the Building Official before being authorized under any circumstance 1 am the owner or I am authorized by the owner of this property to <br /> perform the wok for which application is made.and I comply with the State Contractors i aw 18 27 RCW and 296 200A WAC <br /> City of Fverett Official Use Only <br /> PERtd1T# <br /> PW <br /> OwnedAuthorized Agent Signature Date <br /> (Revised 412112022! <br /> I <br /> I <br />