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�_ <br />-�.,. ,-- CI��� 1f G�.�CG�� �LI�l�1�`� � I��I���Q`�I�� � . <br />�`�'''`"�° • C1TY OF �V�RETT P�RMI -RVICES <br />_ � <br />3200 C�DAR STR�ET, EV�RETT, WA 98201 <br />(P) 42�-257-8810 � FAX 425--257-88v7 1(E) everetteps@everettwa.gov � www.everettwa.gov/permi�Es <br />- >;:;:-:.:<::.•; . - <br />1'RRJECT P,DDRESS: � �.I J� ��„,r_-�1. <br />BLI1LDJf�G AREA (if residential, new consfruction, remodel, or addition). �L� O v s� <br />SUfLDING 7YPE: ❑ SFR-DETACHED ❑ SFRATTACHED ❑ DUPLEX ❑ MULTI-Ff1M1LY-# OF UNiTS:. <br />OF BUILDIIVG: <br />,.:.:.....- .,.,...,:,�.. _ _ _ <br />,�. _ ,.. . ,. . <br />-,:.....:,. . . . . ; <br />:..._.... .,.._:.:__.._.:.._::. :_._.,_. _......_., <br />ICOMTt�,nc� P�lc� o� wOtat�: � � <br />NUMBER �F DEVICES (if low voltag <br />FIRE ALA.RM? �YES _ <br />ASSOCIA7ED BllILDtNG PERNIIT # <br />DESGRIPTION O� WORK: J�L <br />�uu <br />❑ NO <br />� app(icabl <br />� <br />1� COMMFRCIAL <br />AGREEMENT.' T hereby cerfify that I have read and examined thrs application and know the same fo be trus and correct All pro��srons or taws ano oroinance,,� y�ve,,,ury �,.�� <br />type of work wi(I be completed whether specified herein ornot. The granting of a permit does nof presume to give auihorify fo violate or cancel the provisions of any other sfate or <br />locallaw r8gulating construction orthe performance of construction. That I am authorized by the otvner of this properfy to perform fhe v,�ork for which application is made and / <br />comply v✓ith the State Confractors Lav✓ 98.27 RCWand 296.200 WAC. <br />�� �Z� 1 <br />Qi,vner/Auftiorized Agenf SignaEure Dafe <br />CrtyofEvereft Official Use Only <br />FE� <br />� `� O � �� <br />PF_RM1T # <br />�I 0�'���I <br />(Revised 10/12/2095) <br />