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::�,. CI�C��'�QC��L� pC [��i��i Q� %�pI�LLQ�Q 1f 11�11� <br />� CITY OF EVERETT PERMIT �tV10ES <br />3200 CEDAR STREET, EV�RETT, WA 9£3201 <br />(P) 425-257-8810 � FAX 425-257-8857 j(E) everetfieps@everettwa.gov � www.everettwa.gov/permits <br />,. .,:. _:,. _.. „_ <br />-: : • <br />.. . :: _.. : . ,,_ <br />_.. _; <br />; �����,�ll �9`�'� ak���I�Y�N�a`�'��� <br />r. <br />_.... .. . .. <br />PROJECT ADbRESS: / �(� � f��GcJ..� % �1 <br />BUILbiNG AREA (ii residen#ial, new construcfion, remodel, or addition) r� `�Q� � SF <br />BUILDING TYP�: ❑ SFR-DETACHED ❑ SFR-ATT'ACHED ❑ DUPLEX ❑ MULT!-FAMILY-# OF UNITS: COMMERCl/AL <br />U5E OF BUILDf�IG: ��G,. � � ����5 � c���w`�t�.-V <br />� - D'7� <br />AGREEMENT.� T hereby cerii `ry that 1 have read and examined this application and know fhe same to be true and correct. All provisions of laws and ordinances govemrng this <br />type of work will be completed whether spec�ed herefn or not The granting of a permit does not presume io give aufhonfy to vio/aie or cance! the provisions of any oiher state or <br />(ocallaw regulating consfruction orthe performance of consfruction. Thaf 1 am aothorized by ihe owner of fhis property to perform the work for which application is made and 1 <br />comply with the Staie Contractors Law 9B.27 RCW and 298.200 WAC. <br />�� z�� �f� <br />QwnedAut[iorized ��eni Signature Dafe <br />City of Evereif O�cial Use Only <br />FEE <br />" J �� Cr-� - <br />PERMIT �� <br />� � (�� G� � -- j �{ <br />(Revised 90/9?J2015) <br />