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09I2312016 09:25 #102� P.001r''001 <br />� <br />�EcTRrC�L, P�R�fIT AP��,IGaT�oN <br />CITY OF EV�R�TT PER1VllT SERVICFS <br />32�0 CEDAR STR��1�, �VERE7T, WA 98201 <br />(P} 425-257-8810 � FtUC �L2�-257,8857 j(E) everetEeps@everethnra_gov j Www.evere#twa,gov/permits <br />S�TE �N�aRMAT�ON <br />PFOJ�CT ADDRESS: / CO <br />BU1L,pING ARFA, (if residential, n�w construction, remodel, ar addition) gF <br />9UlLDfNG 7YPE: ❑ SF�-pETACHED CI SFh-ATTAGH�p p DUPL�X ❑ MUL'T1-FAMILY -# OF UNf7S: ❑ COMM�RCIAL <br />US� OF sUI�DINC: ��' � <br />�yNr ur wwK w�u oe cpmprerea evnelharspeelf7ed heraln or nof. The g�antinB ara pormit does not prasume to give aufharlty to vi❑lata or cancal the prevr,s�pns o/gny h/e�sts/fv or <br />/oca! /aw regu�atrng oonstructlon or tJ7e performanae oP constn�ction. 7'Rat 1 am authoNzeAby the ow�er of thls propeRy to pr�rlorm tha woik for whlch applrcation le msao and I <br />comply wlth the State Conrracfws Law 9s27 RCW and 2as.200 tyqC <br />utllorized Agont Signaturo <br />t]ate <br />� <br />Cify of Evarett Official Usa Only <br />F�� <br />�� . �� <br />PE�M1T # <br />� � � �'� �- �-� S <br />(Revised 10/92/2015) <br />