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� C�I� ��—l�l�.�C��L� I�C G��!���' /�.p�I�d�l�l�a�G� <br />� � � CITY OF EVERETT PCRMIl�RViCES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 42�-257-8857 j(E) everetfieps@everetfwa.gov � www.everettwa.gav/permits <br />,, _ .,. . ,. , ..: . _:-. <br />,. :...: ,., . .:. <br />,.... <br />._- - ..... ._ . _.. ; . . <br />t�I�����'�' ��`�l� DE��'�14��1�i5i'0�� <br />, .. ._ .. _ ... _.. ..-_ _..:_ <br />PROJECT ADDRESS �� (J � [,�(� � �' __ <br />BUILDING AREA (if residenlial, new consfruction, remodel, or addition)_ SF <br />BUILDING TYP�: ❑ 5FR-DETACHED ❑ SFR-ATTACHED ❑ DUPL.EX ❑ MULTI-FAMILY-# OF UNITS: � <br />USE OF SUILDING: ' <br />����'�'RACA�:,��� <br />,CONTRACT PR(C� OF WORK. $ �U U �� <br />NUMBER OF DEVICES {if low voltage); <br />FIRE AI..ARM? ❑ YES C-�D <br />ASSOCIA7'�D BUILDING PERMIT # (if applicable): <br />DESCRIPT(ON O� WORK: ��� ��i; _ i�' _ <br />D — i>. . �� �. ; <br />IAL <br />rc <br />fype of work will be completed whether speci,9ed herein ornot. The granting of a permif does notpresume to give authorify to viotate or cancel the provisfons of any other state or <br />loca( law regulating construction or the performance of construcfion. That / am aothorized by the owi�er of this proper(y to perform the work for which applicafion is made and 1 <br />c�mply with the Sta% Contractors Law i8.27 RCW and 296.200 WAC. <br />�. <br />Owner/Autliorized Agent Signature <br />�� 23 /� <br />Date <br />Cify of Everett Offcial Use On/y <br />FEE <br />� (.�1�.>`�� <br />r�F�nn�T � <br />� � �� � <br />(Revised 90/12/2095} <br />