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)f'1CfSIV1! 1 6�P"P"LIl�N1! I1.�4l1 <br />�111LD1� / fliI�CFI,A�lICt4L. I P1.Uliil�lftl� I SIG�S�'�(�dKL.�� I DEi�OL.ITIOflI <br />CITY OF EVERETT PERMIT SERVI tS <br />3200 CEDAR STREET, EVER�TT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everefiwa.gov � www.everet�va.gov/permits <br />. . ..... . : .. :. .. . .. . -. . _..... ... . . . ... . . . - . <br />&�Q��s�) : �f�i�m111��51' .S9'E'� ��i'll�r..�G'��fil�a�i'Q�t�9. .� " . : <br />PROJECi SITE AQDR�SS: G�� �}lZ%� �,,�/Z% (/�:-� PROPERiY TAX #: <br />LEGAL for new consfruction: Short Pfat/subdivision Lof No. (atfach qopy of Iong legai description) <br />Existing Use of Buildi <br />Proposed Use of Buil <br />Buiiding Type: SFR-Detached OSFR-Aftached ❑ <br />Type of Project: ❑New C1Addition ❑Remodel E <br />DESCRIPTION OF WORK: <br />G PEii <br />Confract Price of Work: <br />Heat Source: as <br />❑Mu[ii-Family-# of U <br />❑T.I. ❑Siqn ❑Sp: <br />� �iti,�-c=�, �,, � L�—'Z- �-'� '�til (Z�C,--�' <br />4SSOCIATE� BUILDING PERM[T # (if applicable): <br />s , F'"� r-�-:—. <br />❑Elecfric ❑Other <br />❑Commercial ❑Indusirial <br />❑Demoiifion ❑Change of Use <br />ACKNOWLEDGENrEfVT.� 1 have reviewed this application and confirm the informafion contained herein is frue and correci. Work done pursuant to thJs permit must contply with <br />current federal, stafe, and loca!law. 7he granfing of a permit only authonzes approved work and no deviaiions fhereirom. Deviations must first be authonzed in wrifrng from tho <br />Bu!lding Offrcial before 6eing authorized under atty circumstance, 1 am the owner, or! am authorized by the owner of this p�ope�ty fo perform the work for v✓hich application is made, <br />and I comply wifJ� fhe Sfafo Confractors Law i8.27 RCW and 296.200A WAC. <br />� -� Cify of Ever'eft O�cia! Use On/y <br />- `...�G��� � Z -' �""' �7 PERMIT <br />� � � � �� , <br />OwnerlAuthorized Agent Signafure Oafe (Revised 5/20/2�16) <br />