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on . <br />09/26/2014 <br />14:28G <br />P.002/002 <br />c/#702 <br />PERMIT Ar- PLICA-rION <br />BUILDING/CdECHANICALl1PLU11r,BING/SIGN/SPRINKLER/DE MOLIT10iq <br />CITY OF EVERETT PERMIT SERVICES <br />3200 Cedar St., Everett, WA 98201 425.257.8810 FAX 425-257-8857 wWw everettwa org <br />APPLICATIONS ARF AerrPTPn con. a A. Tn ..,.. <br />SITE ADDRESS: <br />40pE ITTV TAX v v nF��ilT,,atI ` <br />7�t U <br />LEGAL for now wnetluetion' Short PIaaf tssubbdivislon <br />Lot No __ lallacll copy of long legal desvipuonl <br />OWNER'-y LJ)j L p'�ytyvl I <br />Phone/E•mail <br />AOdress 1 �P, Y vrt ( Iaa <br />`I <br />Gly1State/Lp rj{� t' W%f 01 2IA) %v <br />APPLICANT: Ownet _OWners Ageril —KCOngaCt0' <br />_COntraCtor'e AgOnl _Tenant Mmr peHaael.no.rewenl+.me.owre aLan Wuie lqw) <br />CONTRACTOR Fa5k ��' � ra <br />L d 1 Lie. M I �YJ W BC COE Bus. Lic. d 3 <br />Addicts lS1Y35North Creek'PSrkwa Soutll,SlEC. 106Bothell, WA98011 .ma,p( 1 sVL:�A jI1PQie(.Ce' <br />TENANT BUSINESS NAME <br />CONTACT FOR PERMIT <br />71-A <br />�ULrJ Pal pt�3-i <br />--I- - — - L07J <br />t t�erSe�.>=tl�%1L <br />I hereby CON, Men l have read and Ppmhad IMs pppl.hon and snow Ina Cams 1, DO I,, and coned Adploviabnl of laws ano OmnaACOs gutming lhl, rypa of Wms we be Cornpted <br />with wholnonpeCRmd te.aw or no The granting o1 a perms does not pu,ulnd to give aMeM, IQ vblale W eencel the Oldvdbn of any Other Cub Or gtal4w rap W [ng CanCVvtlbn The, IIm a Moved be me Chnel of do,vl/ooppp.ny too torm ba WVIb bfwilkh aehCabo1l1n d made and 1 Coop, win me Stot, C,ibaLldrs1 al <br />Id iT nCW and iga.igOA WAL•, <br />IAulM1dniaO r.yrn. e�V - � DI1B <br />(Revised 6120 1g) <br />n <br />