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�s � � �����.�� L� � ������� � ���a�Q1���� <br />,,�.;; �" <br />- C1TY 01= EVER�TT P�:RM[T �V1C�S <br />3200 GEDAR STR�ET, EV�R�TT, UVA 9820� <br />(P) 42�-257-8810 � FAX 425-257--8857 ](�) e�rerefieps@evereti�,va.gov j www.everetfwa.gou/permits <br />..._..:.-=-- ��.:.-.:.,,, ��---�:.-,._..-.: -- - -- - =-- = -- - - - - _ - <br />.....:..:.::-: .: <br />; _.-:�.:>„-::.... .. ... , - - - - <br />, .;.... _ . . ...,... ,::,�.,:�<,:;��. <br />. .. _, . <br />... _ .. .�.....�...- _ <br />..,.. <br />. .,. ::..... .::.....�,.� <br />... .._ .: ...:.. . .. .. . .: . ...�-.:.,,. _, ,. �;���`������'1��`����•��19��fif`9C�1���:°:.�':_:_ �::�;`:;: _ - - <br />- �'� _ -- _ - -_-- <br />��o��cr��t�R�ss- ,_.` ;^.�`�. .._.�..,_.���„�.,.�,..�,.�, �� <br />--e <br />BUILD7N� AREA (if resideniial, new consfruction, remodel, or addition) �� <br />BUILI7ING TYPE: L.SFR-D�TACNED Q SFFZ�-ATTACHED CI DUPL�Y Cl MULTI-FAMILY- # OF UNITS:_ ]� GOMMERCIAL <br />USE OF BUILAIM1IG: � <br />:rs;;:,,,. ., _ - -- - : ������� '�''S� <br />�.�r� - _ - -- <br />GON7'I�AC7 PRIC� O� WORK: � �.-J a.� <br />NUMBEI� O� DEViCE.� (if low vol�age)x <br />FIRE 1-�LARI�1? Q Y�S ,j�N� <br />ASS�GIAT�D SUILDING PERIV((7 # (if applicable): <br />a�sc�tp-nora o� �vo��c: ��� C—� <br />c <br />c?iNNER NAM�:<: � � t �..1..�-�IP'� �%�� <br />OWNER M��ILING ADDRESS: s�EEr ( `7 '2 � <br />. ;_ ��� <br />. CITY � ie� � <br />PHONE: � f / '��' /(vL? - <br />- -- ^ f <br />CON7RACTDR NAME: �^iyl � '�, ,%l� �"C't <br />CONTRACTtJR ADDRESS: srizEer �.�y� }�, f <br />CITY � V �!Z� <br />0 <br />T�NANT NAM� (ff <br />�3�� �i SC <br />� <br />OWNER EMAiL; <br />� Ji,�l.� µ' i� �.t i �� /� <br />� n r ,tisL �.P <br />-_..._:� �._-.... - -. ._, .- _ _- _ <br />T <br />� � <br />�tnmercial}: <br />STAiE �-^�/- � <br />STA7E (.�^-� <br />c.� /�c'•�-- <br />ZJP <br />�P `� �2r� <br />CONTf2ACTOR PNON�: CONTRAGTOR EMAIL: <br />CONTRA�TOR LIC, #(REQUIRED)' �/ '� CITY OF EVERETT SU5INESS L1C. #(REQuiRED): <br />PRIMARY CONTAC7'; '�OWNER �`1� CONTRAGTOR Ll O�"HFR (Please Specify) <br />CQNTAC7" NAME: GONTACT FHOt1i�: 'L S'— %�C.% —' �� Ci I <br />� \ � � GDNTACT EMFlIL.; <br />AGREEMENT.' T he�eby cedify fhat l have read and examined ihis applicafron and knov✓ the same io be frue and correci All provisions oflaws and ordinances goveming this <br />fype of v✓orlr wfl/be comp/eted whefherspecifred herein ornot. The gran�ing of a permit does nof presume to give authoriy fo violats orcancel ihe provisions of any oiherstate o� <br />local lawregulafing construciion orthe performance of construction. That! am authorized byihe ntvner oithis proper(yfo perform the t�vork forwhich applicaiion is made and 1 <br />compfy tvith the SYate Confractors Law 9827 RCW and 296.20o WAC. <br />Ct fEv retf Official Use Only <br />���� <br />orized Agenfi <br />Dafe <br />ryo e <br />FEE <br />`�1��.°; <br />PERMIT;� <br />L y � j ��l � ��� <br />((Zcvised 10/12/2095) <br />