|
MAR-24-05 THII 03�38 PM ��FRETT PERMIT SEFUI��ES FP.}; h0. 425 257 8857 P. O1
<br />._...._.........__..__.... _ _........:._,........,.i ----- --.__.---- —�..__.._-------
<br />i ��.,����'I�I�;AL PERMIT APPLICATION
<br />i CIl"Y (JF CVERETT 'ERMIT SERVICES c��ap�,5
<br />J?OD C:f:IJAR STkEFI, EVERETT, WA 98201
<br />Q 2.�'i•2fi1-8010 - FAX �125-2: 7-8857 — w�tnv.everettwa.org �O�QC�—� �%
<br />l,�Fl.ti:nr�o�a^ ner: ncccr� fL"D F�RQM 8 AM 7'O A PN - DE(i17 & CREDIT CARDS ARE NOT ACCEPTED
<br />:`'_ I(.=?...�. ?-�;roSS�t_,��w��--.A-��_._..�4�-`S
<br />�i:ci.�r-.r.i nr�oRr::;.^,
<br />`v1ac1�. i,.3,'L�sl.,o._..i.. _ 2oc,-94Jif19!
<br />,....,.._...__ ._. �,.. ..__.._.._.___--_--- --____--- -------�—
<br />IJ.Vdrl' A1J'JP.'.Idl�:'::� Gy' SI�In1Zil Phof�?
<br />. _.............�..._.,....... _..... , ,_......�.--'...--.__._.._......_ ..__... . . __._.._.._. --- —
<br />jCi;(ipt irSull�\:1d�G: ... Cil)' SL'�lC2�p Pflorl'
<br />� �t Z5 - 33 i
<br />�,1u.�.crt�.�� .C�Lz�T<<e----P°_Q`-.'.�...7-7�3__S_.���.c�,�s`�__�_-IBL`( l '?.�'`1.
<br />f�!..i�l{s:nl(;�:p11���:Or �trlAddrC,i: f,ily B�a�Mip Challo
<br />C��1o��,�C.� �Ic� ��,.;...
<br />;.i;�l;iic�:nr.,:Pium� ,
<br />.. �_.�..,� �l,r.� �.._._... ___._._ _ -----
<br />fLO�',Oyr,,1 U;:c u( H�u.dLlp
<br />Conlmct Prirn of Work
<br />ConWcl Penon (Pl�n Rcviow)
<br />L�.:'��:iil'pc �� ol YV�;d, ta U;, I lnno; ,. �.� \ �- PaC- '�....... _� L P C \ C� Q A� L-� `'T� l� �,_;._� _.._
<br />r:oi i��N�r.i�vu ii i r�c?N� oVvn.i.iwc: , ts t;� ruir�i:n Yo
<br />[ll� IN RACI'?,b'r�Y:;, A1C QR /�C Cl11iL[:.
<br />GI I"i CiP FVI'I:I: i f L�i;AL. SAL[i5 TAY. (:Op� I� 5105
<br />� f(;c��'I;y p��G7/ liiaf I l:b�ii h
<br />I � il �7 F(lj'„t�l+ n5�.I1:14
<br />. it rfSA �.Ju 11� n��r Gr•
<br />iS�' �r�v�4u� �I(h.��r tl�7i
<br />��� p u)11! �� �/4 17 �ulf il,-•(�
<br />�,. h!ot u ln . h i�p�!ln.:l � 1�{!u�
<br />� 0�? F4>1i;. �
<br />;� O ,\
<br />;iti� .�Gn:e`
<br />1
<br />�
<br />: _ .. _ .. . ...
<br />Y o��.r;f�u'Jlh:s npp';�r;;tiunandlc nn�lhc s^,nte to tc Ir�w nnd
<br />��M1lin � ira^, jl ni:m iln Ihl� !)pi C� �70f1! lvtll UC CClnpf�'Cd
<br />�v qi .ndinp a/a pmni,f d�es n� f1�,sumo lo g�va au(h n.. ':.
<br />u y nrh� r:;t�ta crlcc��f Lvti icrnrl��, ny contt;ur.hrn rr tOr
<br />I t� � auihu�iiod l�y fl�q rntiimr nlli �fs prnperry tn p�ifnrt � 11��
<br />ip I1 i'U47r,fQ r.f0 fhc Sfatr. C�1nG litJ�S La�L itl 27/iCiV 7ncl
<br />��l-`���'S-
<br />� uc
<br />Fec —__"___
<br />�7 r
<br />v����
<br />
|