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' PERMII" A�'f'LICAI"IOi�' <br />E�IJILDIN�. �VI�CFiAiVIC�4L / 6'LUil��Ik�C9 /�IGN l RIl\lK�ER / DE�iiOLITlO�I <br />CITY OF EVERETT PERMIT SERVICES <br />�� 3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � I=AX �}25-257-8857 �(E) everetteps@everetfwa.gov � www.evereftwa.gov/permifs <br />, <br />,, ; ; �oi0.11E�'�" S1'�'E_�F�;�OBt�fl�'TIOR9 : :.... . <br />; . . ._ , <br />�JECT SIT� ADDRESS: ��' 7���c i.� o,� _ iI U� PROFERTY TAX #: <br />(� C�l <br />�AL for new construction: Short Plat/subdivision Lot No. (attach copy of long legal description) <br />Use of Buildi <br />d Use ofi Buil� <br />Building Type: G�SFR-Detached C1SFR-Attached <br />Type ofi Projecf: C7iVew C]Addition � Remodel <br />DESCRIPTION �F WORK: � <br />�Z ��[ ���.'`� <br />IATED BUILDING PERMIT # <br />Contract Price of Work: $ <br />Heat Source: ❑Gas ❑Electric ❑Other <br />❑Duplex OMulti-Family�# of Units: C❑Commercial �lndustrial <br />�.lRepair OT.I. L�Sign �Sprinkler ClDemolition ❑Change of Use <br />U"C�-v'�, i '� � �/�C�',^- � � `-�-�`'�I Vl � � 15C. ��.f'�� <br />ACKNOWLEDGEMENT.• ! have reviewed this application and confirm the informatron contained herern is true and correct Work done pursuant to this permit musf comply �vith <br />current federal, state, and local lav✓. The granting of a permit only authonzes approved worl< and no deviations therefrom. Deviations must firsf be authorized in v✓ritrng from the <br />Buildrng Offrcia! before 6eing authorized under any circurnsfance. I am the owner, or 1 am authorized by tl�e owner of fhis properiy to perform fhe work for which applicafion is made, <br />and I r.nm�lv with the Sfaie Contractors LaW i8.27 RCW and 296.20oA WAC. <br />Owner/A�Y�i�orized Aycint Signature <br />�Z 2 <br />Date <br />City of Evereti Official Use Only <br />PERMIT # �'� . � ) <br />i ! ��i� �,% � �» �v % � � <br />