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- � . . :..- " _ : I _t: . . iE . _ : . . <br /> --- '�-- - -— - _� —. <br /> � <br /> ' �L�CT�iI�AL F��Ft�l{�T AP�'LI�ATI�PJ � <br /> C1TY OF �'JcEt�TZ' PERM6T SER1�'ICES i <br /> � 32U0 C[L'AR Sl REET, E`✓EP,ETT. WA 93201 <br /> I 425-257-8810 - PAX 425-25i-885i —vnw✓.evzrethva org , <br /> i <br /> � <br /> ; I i .�� �/_ �v��� f-f� n��. I I 1.�:'Gy <br /> I PROJEC7 ADDRESS <br /> � <br /> � Owner M&�iactlrc.c City S,al:aQ�p Pncne '. <br /> � I <br /> ��s4- �1 t 3� S!=�ue.pfl-rv2�1t (tiF, ��F.. . C �T a3�� 9�5-s,ti'�Y 9�' <br /> ?enanl Lia;l Actlress �ry Ststn2�p Pcena <br /> ,;. R�:_;;.•�.n�tci=_?=���,�Q��'����-l-,—,---—u�- �.C�7�'��000 � =fi�� _7,c — _r_7�K <br /> IEIn.GMCaICG'fifar.tnr nC�f:ACdr�s� dC y Smto2:p Phono I <br /> I ' <br /> �CI— F.? S — '�3 �t �'I "sl4 I <br /> � Siot?Ucense Numtar(repuired) Gty o�[verett 6us;ness Licanae 4amber(raquired) i <br /> � �',-,�f�C,�--i'. ��_ I <br /> � =roposed Usa o(Gui;ding Cor,trC,Prico ef Work I <br /> � I.� � 73� 1 <br /> � �n'.� honSt-r `(7 �— .�Ci—�� ' <br /> � Syirare Footege Qf�e6i0en:'.a1 na��v conaWci�on,remcdel or 2tlWlion) Contact Person/Gantaci NumDer.�Emaii � <br /> i I <br /> IP.umbor oi duvir,ys(If to.v vo�'tagc) <br /> � <br /> I � ^ L /� <br /> ibzscrlp�lonor�PlorkloBnDone� [�r �rr:�,�.,n- � ��f-�y� C`� f'SF'(•r'?��'+ :'� ���i (�-c^-��,� � t' \5 <br /> � �� 5���/' _ J—�l�i_��F�.r_ _ _ ' _ <br /> I <br /> _' _ ___ I <br /> FEE -- I <br /> CITY OF EVEFETT LOCAL SALES TAX COOE IS 3105 I � T �U I <br /> 1(J <br /> 1 h�ruby certi`y thflf I fr�vo mnd ane exnminoU�h�s appfrcalrorr and know;hr. s��nc to he l�uu and <br /> CnrIeCL A!/p�Ov/s:ons nr�aws a��rl orUrnanccs�vummy�his rype oriw�a wd�ho r.o,nplated - - � <br /> uhclhei specllfod horo�n o�nof. ihr yr�n;irtg o/a prrmif does nof prosum�to givc aullto�ity b pERh1ITY <br /> v�olOtO Ot CdnCOI!ho piovisionS U`�ny otherslalc ar loenl law m(7uldtlnq cunstrudron or�c � / �/ a _ ��� <br /> � perfurrnnr.ee o/eonafn.-etlori. Thaf!dm authonled Ay thd ur.�nerel�his proporty fo paform lh.e (/ <br /> wsrk tbr vfirch applirs;lcn is med?and I comply MfA t,7o Sfata Crntractors Lsw 18.27 RCI:'antl _ <br /> <"9ti 200 WAC. � <br /> � ����.�Cl.C�- _� /"� -�/k't� ������_��� �"� <br /> , slgn un Date <br /> �:�.�__:o_C_:r,N ___ _ —_ _. _- _- � <br />