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� <br />� ...� ��ry <br />�..�.� . ELI�+�iRI�A�. P�l� ��' �4►PPL,I�AT�ON <br />`�=� CI�"Y' QF EVERI�TT P�RMIT SEF�VIGES <br />3Z00 GEDAR STR��T, EVE�.ETT, WA 9824�i <br />�4L5-267=8810 - �AX 425-257-8857 =www,eve�e#tw�,org <br />� �il�.�`i � �' e��-�.'-�.r} �i"�`. '�� ._� �,�_ �lj�� �.d,�"" � �'���' <br />I�ROJECT AI]DRESS <br />��f�` S�Cr t ! "��1 � ��/v �1 ` �I �� � �.I. 1 I <br />OWner M�il Addreas, C�ky StatafZip 'Phdne " <br />��. — <br />Tet�atlt Maii Address C1ty , State(LIp Phana . <br />� <br />v � � � �v-� s�` � i �� � �rf � �i - � <br />_�.� _�. <br />Electrfcal Qontractor Ma11 Addrees �Ery 9c�tafLip Phone <br />�i tv��`�'t`� � "Cjz.�'' 2-� $' <br />State Llcenss Plus7tiaer (requireal'j ; Cfty' of Everett Busfness Ucensc� Nurnber (requEred) <br />� <br />��'��� �t,�c- ��c��... � 32� .Qa <br />�� Propoee� Use c�f`flulldlrrg� �� Contra� Prfce of Wo�k <br />, �. <br />, <br />. N,��� t�1ALi �J 425-2t8- ! 7t.�} ' <br />SquareFootage:(I .residentla) new constrUctlon, remodel or addition) ContacC Pe�sanLGontact Number(Ema(I <br />r� A <br />Numbe� o devic's (If1ow voft g <br />Desctiptlon af Work !a Be Done: �: � t" �v� � �C•r� "� � ('�� 1 /�,.�„1i�tT � � �'X� <br />FEE <br />CITY OF EVERETT L.QCA� 8A#��S TAX CODE IS 31Q5 �j C��,,,, <br />��,"J• <br />! hereby,cettlfy thatf have read and examinad fhls apPilaatlon attd k�otv the s�me fa be frue and _ <br />_�„, , W_ � __._ _m��_ .�, � <br />`corr�ct 'All provlsions of laws and ordrnences goveming th�s iype of wc�rfc wll! be caxrrplefed <br />, s�hafhsrspeclfr'ed het�lrr ornok Ths grsntfng of� permti rlaes tiotpr�strme to glvd �ufhorify fo PEFtMiC# � <br />vtof�fa prcnnc�l the provrslans af any o�her s#afe orJoc� l�w reguladng c�nstructlon or ths � ��� � <br />performance of consiruetlon. T�at I am autfiorfzed by the ownerof fhis properiy fo pertvrm t�is E `�� , <br />wo� forvJhfch app�ic�tlan ls mada snd ! comply svlth the 5tata Gonit�afors Law �f8.2T t�CW and <br />296.20Q WAC. <br />(i!'z.�.t�,�.- 5' �`' f'�J <br />______.. <br />`�.'..� � �� ns u� � � � pa s���� �� � <br />� . <br />� � � N£47SEDi1&'�^"1tlf� �:... � . ... . .. . . . . . <br />__ .� . �����, � __ __._.__._ -- -_ __ .._ _____ __ ____. _����_. _�_ ..__.._.......__ _________� _ _������_ ._ .�v___.____ <br />