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�c� � Hi�.H� rCnrni i N►r��.,�► � �urv <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P} 425-257-8810 ( FAlC 425-257-8857 �(E) everetteps cQeverettwa.gtrv � www.everettwa.gavlpermits <br />__ <br />�RtfJECT SITE INFtiRMATI <br />)ECT ADDRESS '` t /� � �� <br />DiFiG AREA (if residentiaL new constructian, remodel, or addition) SF <br />DtNG TYPE: ❑ SFR-DE7ACHE0 5FR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UN(7S: ❑ COMMERCIAL <br />OF BUILDING: '��i1� ij INh i��� <br />TL �.. L.� �srw C�NTACT iNFt�RMATiON ! <br />NAME� TENANT NAME <br />MAILING ADORESS: sTReeT � wA t A� A�Y '� . <br />NAME: <br />C�� STATE Z1P <br />•� ■ • tl • <br />C�TY <br />STATE �i/ � � ..___ ZIP <br />CONTRACTOR PHONE: CONTAACTOli EMAIL: M �• <br />CQNTRACTOR LIC. +�(REQUIRED): CITY OF EVERETT BUSINESS UC. �(R ): �O <br />PRIMARY C{3NTACT: WNER ❑ CONTRACTOR O OTHER (Please Specify} <br />CONTACT NAME: CON7ACT PHONE: <br />�. CONTACT EMAIL: <br />AGRFEME11t7` F eby ce+tlfy that i have tead and exam+r�d thfs appJicat+tm artd krww the s�m�e to bs true and coned. A!! provisrons at laws arrd txt�netaces qovemirrg this <br />type ai work witt be completed whettrer specifred herein or not. ihe grantirtg of a permit does not presume to give authority to vrolate or cancel the provisitsns of any other state o� <br />locat !aw regutating ca»struction or ttre performencB of caisfiuction. 7hat t am authorizeri by the owrrer of this pro�rerty to perlorm the worlc for which �licafron +s mede and � <br />comply wi0h the SYate Cartractors Law t8.27 RCW and 295.200 ►'VAC• <br />City of Evereti OHicia! Use Only <br />FEE <br />���. O� <br />PERMIT # <br />E �(�6'�- `Lo(o <br />/i � �aa�,;�.� fnn�nn+�� <br />