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tLtl� 1 I�filrHL �'CFi1V11 1 Af-'1-'LILH 1 IVIV <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 982a1 <br />(P) 425-257-881� j FAX425-257-8857 f(E) everetteps@everetlwa.gov � www.everettwa.govlpermits <br />PRQJECT SITE INFORMATiQN <br />PROJECT ADI7RESS: ����---} G,1 � ��;- � -�a- 1�'� �.� '��P.1'-� � °�ti,� � � G L�� <br />BUILDINC: AREA (if residential, rtew constructton remodel or addition) P'�_�1't-�'�P � SF <br />BUILOING 7YPE: Q SFR-DETAC#�ED ,�SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAf�lILY -# OF UNI <br />USE OF 8131LDING: <br />❑ COMMERCIAL <br />HvncCn�crv 1: i nereDy cromry rnat 1 nave read and exammed this appfication and know the same ro be bue and correct A71 provisions of laws and ordinances goveming this <br />type of work wi�l be completed whefher specr/ie� frerein or not, 77� g�nling of a pe�mit does nof presume [o give avthonty to vioJafe or cancrol the pm visions of any other state or <br />locallaw regulanrrg conshtfclion ar ihe performaxe of rx3nshuclion. Thar I am aufhorized by the owner of thxs prnperty to perform the work tor which applicarion is made and I <br />comp� wrtii ihe State Contracio�s L.aw f 8.27 ftCW and 296.200 WAC. <br />� �i ._ L � C•` — �' f �'`Z , "'� �(� ��"C City of EvereB Qflicial Use Only <br />��! r�;::e ��,t 1��� - � c�� � l 1' � l " � FEE <br />nll�.,o�re� <br />� <br />�(�:Y��`'��-�-� I <br />1 <br />n�r� <br />�� <br />PERMfT # <br />E 1�0� -- l c� o <br />i[��,,:�-�,1 � nn .,,�om � i <br />�9b LO 9 L �Z daS <br />