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-'- '�-. ;�r. - �� ,;�.e:,, 'til�� tr:c pHX -... .,, __ � � = <br />-__ — - �-- <br />� <br />E��G�'RICAL PERi`�i�' �APPLICAi!(��1 <br />CI�Y OF EVERETT PER1Pi i SERVI�CES <br />3200 CF�AR STREEF. cVEP.ET'i , WA 98201 <br />425-257-�C810 - FP.X 425•257-&S57 — www.everettwa.or� <br />L��� �- m � f i'l�� �r <br />PROJECT AD[JRESS <br />vwnp� <br />Tonon; <br />.!all Addtcy5 <br />�:, �,c=.F���� <br />�da11 Mcre: s <br />, ��.?�, (��_...r_�. <br />Na'.i Aecras; <br />('-�f 4; � S � � � � -- •- <br />S;at� Llce�sc N�rnber (�equ�red) <br />Prr�po?ed U�:,c cf Build�ng <br />Squarz Footage (I( reeidential new construclion, remocet cr additicn) <br />tJumUer o( AeWcos (if Iow volt�ge) <br />DescrpGen of 1"Jerk to Be �one: <br />CITY OF EVERE7 T LOC.4L 3ALES TN( CODE IS 3105 <br />C ly <br />_ t-��}�r <br />cry <br />r.-,�=�-3—'^-"' <br />C�:y <br />Slotc 2�P <br />S;eltY1'�p <br />Stato�Lp <br />PnCce <br />�f�s_3s3� <br />vhonx <br />�-�C7J' - <br />Ph�ne <br />c�> �` I <br />City of Everetl Euslnaas Gcens2 Number (rey�ired) i <br />I <br />-fl." �r"r' �—� � <br />� <br />Conlr�rt PnCr cf Wa:k , <br />L I <br />1. re,S' / C�'<sr �1�� - 7�CJ����� � <br />ConL3ct PersenlConwct YumterlEmsll ,, <br />I he�+eDy cortiry fhnt 1 hovo rnad and ex�mir,od tf�s appllcation end know Ifw sr,nre (o Ud f�ve a��d <br />conecL A!f piovlsiorrs o( iows and oNlnanr.ey ?ovem7r.g lh�s ypn ot worh nif! bn cemp,eted <br />whethr.r spocifrod hereiri nr neG Tho granhng of e pcimtt dcos nut prcsuroo fo 9ive, ovtherlry to <br />v�oltrte or cance/ flta pmvlslons of any otl�c� stotr. or local law mUulnfin�� CortslNc6on ort�^ <br />pr..;onnanca olccnsfructlon. That ! am authoiizr.d by the ownero�fnis proporty+o vc.'omi rhe <br />�.wN lo: v:h�ch applicat7on Is m. �'o and! r,ompty wlfh th& Stata Contrer,lcrs Lavi 1t717 RCW and <br />296.:.L0 WAC. <br />Lr•=v;: D%acei5cr� <br />FEE <br />-�a�� <br />---� <br />P[PJ�iC� n � <br />� r�ra- �g9 __I <br />