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�� ����-a��.�c��� �������� � � ��a������ <br />, �� , � . <br />�`:;;:�� CiTY OF EVER�TT P�RMIT RVICES <br />3200 G�DAR STR�ET, EV�R�TT, 1NA 9820� <br />(P) 42��257--8810 � FAX 425-2�7-8857 ](�) everefieps@evereftvva.gov ] wu�w.evereif�nra.gau/permits <br />..._._..;_._...:.,::-.....: : - - - - - -- - -� - - - =- = - - -. <br />.... _ ,.�:. .:......_ .. <br />: <br />:....:.:.. .: :.:-::: .::��-_.:.,.:=.,�.::::.::-:=:..:.:,:...;i(���1�.,�.�`U'��iJ� � :.. . <br />; .�,...::,;.:..._, .: ..•...:_ ,. . -. ,� �;. :.. �... JP�3.���C�'�'-���`L��`_ ._ ::,: •..:.G�]i.._�_..�::___._°�:::;.:::`:�:°:`,:: <br />: _:.,,��.._� :..:.:... .::...:....: .: ....::._:.:.�.�...:, -=::.::.:.;._..,_-�..,.,......:-•.- .:_,...>. ...., .... ....-...._. . . . — <br />�RaJ�cr �����ss- � �( / �� — / / Z- � �' � i �'�lr �:'�t;"17 C.� �� : <br />SUfLi37�IG AREA (if residen�ial, new consfruction, rem�del, ar addition) �� <br />BUILb11�G 7YPE: ❑ SI�R-DETACHED Q SFR ATTACHED I� DUPL�X ❑ MULTI-FAMILY � I# OF llN <br />USE OF BUILDIPiG: ,�}��11-�1 SI (�J l�� l) i i��' _ .� �� `-' <br />I;r;_�,f.: � - " : . . <br />CON7"RACi PRIC� O� Vl(ORK: � <br />NUMBEI� OF D�VIG�S {if low voltagf <br />�iRE �1LARf�1? ❑ Y�S <br />ASSOCIAT�D BllILD1NG PERNIki � <br />DESGR[PTION O� WOE�K: <br />.� <br />� <br />_-.--:.,. _... -� � -- - -_ - - - <br />� . . -. :� . .. .:. . ..:.. .. ...::: C <br />� . -- - Oi <br />ovurt�� riann���; :. �� t�`� ��7T G�n <br />OWNER MAIL.ING ADDRESS• srReer ��� C( - <br />.. � ��i:�� C,'T� crrr � <br />DWNER PHONE: _ <br />�� _ TENA�IT i�AME <br />//Z ��` si <br />. (i�!' � <br />OWNER EMAIL; <br />�G � � t'/ <br />��e <br />ITS: �COMMFRCIAL <br />������� <br />_� <br />�znmer�ial): <br />I <br />STA7E � � E G% � ZJP � <br />CONTRAC7oR NAME• �'' i�i`v' F �� ��'� (C c\�- j r� � <br />CONTRACTDR ADDRESS: srRE�r ��� ��� 7 C�•'"-!� (J �� S L <br />� � � <br />�L � ,v I � �(� �� CITY �L./ v, , STATE L ZP <br />coNTRACTOR PHONE: � (%�"=S �15 � Z Ll � coNTRAG7oR �MAIL: � . � �� = — r� �,�� l, �w - ' _ r�`-', � : �` <br />CpNT]3ACTOR LIC. #(REQUfRED}; /�� � L IL 1;,� J(� } Ci'IY OF EVET26TT SUSINESS LIG. #(REQUlRED): 6�j ( � <br />PRINIARY CONTACT,rt LI OWNER �'L1 CONTRACTOR L7 ��HER (Please 5pecify} <br />�N C7" R7AME: GONTACT PHON�: �(,)�j "- �-�'t" S—�� L-( � <br />��,4 i�'l.� �' ✓� �I.i. �� �Z cn�r,�cr�nn�►�.a �uv�N� : ,���w� ��� � l�T � 1 �� � - � =�����cv� <br />AGREE!✓IENT.' T hereby cerfify fhat 1 have read and sxamined this application and know the same io be true and correct All provisions of laws and ordinances goveming this <br />fype of work wil/be complefed wheiherspecified herefi ornot. The granting of a permit does noipresume to give auihorify to vfolate orcancel fr5e provisions of any otherstate or <br />loca( law regulafing construciion orthe performance of consfiuction. That! am authorized byfhe Dv✓neroi this propetty to perform the vvork forwhich applicafion is made and l <br />complyv✓ifh the State Contracfors Law 98.27RC1Nand 296.200 WAC. <br />CityofEverett Official Use On/y <br />FCE _ U v <br />� � �. <br />PFRMIT# <br />� I �� �J �V� <br />(Revised 90/92/2095J - ------ <br />