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�4��1i� �1��"i�0... ��A`.INl�� �If"��� -,A�.I,f'1� 1 IQIV <br />CITY OF EVERETT �FRMII' S�:RVICES <br />32G0 C(_DAR STREET, f_VERf.TT, WA 98201 <br />4?; ?57-3810 - FAX 42Ci-257-8857 -�vww everetN�a orq <br />� E�so�i-n6� <br />- 6a, �03 �►� �� , 5� --- R_g-�5 <br />PROJECT ADDRFSS <br />, �Z� ��, �N���� � ��3�-� �� �� F���_w� q8z�a _ _ __ <br />OW�er 'J1aoACCress C��y . �.i".'7.n PP..�i�r• <br />� —_ _----' . — _ —'— _' __"—_ '—_ _ _'_'_ _ - i <br />-j'p_.1 t,�- -�law(� . ,.:Yzl,)n� , �,,,�.� <br />� fenanl 1.1m'P^,drr;s (.d SlateV�.p <br />� N���_� 1��- _C_�. l�_ .�b?.t'3_`�' � `JL 15— �t"� N n�L� �,o_�iue�� <br />[-ioelnealCentracto; tAannd�nesc C�ty .,.���e,Lo �,.,^-��^ <br />� �I 83 <br />Q��n� � D��---- - _ 4_ S Z— — ----- — <br />ti�ate L�crnse Numbar ;ier,u ica� � C:ty of F'verelt Husiness License �'umber (iequ�redl ; <br />12�51� <br />Piupesed Use ol Rw 1,:,�.� ..� _. <br />?60 , � <br />Cen;rncl �'rice of AVoi�. <br />� pR�r�h1oNIZ- 3W.3'9�_ 1`1� _ <br />i Syuare Foot�ye (If resldenliel new cunshucLcn, ntmode! or addit�un; Co�tact �'r.rseml.onta�:t Numbedl nm I <br />I Number ol devices (If iow voltaqr� <br />� I )etir�q�6un nl Work In Hn f)un�; � �'i�j l � � � 11�� �! n1 , ��(,� 14U� �'Y� �'�) 'r__ —__ . — - _ <br />ih Lt'CV (, i� n t � n S� � ��L.vi �t � n—{j't'�1- R.ti.. --- --- — <br />CITY OF FVFRE7T LOCAI. SALFS TA% CODE IS 7105 <br />I hrmby cm6/y Ih;�f I Ir:iv^ �r,id dnd er nrnined Ihis npplrca6on anA hnuw fhe same (n Uo fiva nnd <br />�:urrr.cL /111 prnv�srnrrs nl lar;s ,ind oidrnanres r�ovenrrn9 fhis fypr. ul wwk wdl Ge aunplefcd <br />whclhei spncified hercin vrnof (he y�anfing o/ a pennd Aoes nol presume fa grve ��uflrnnty fn <br />vinlate or r:ancel Ihe p�ov�smns o/any ufhei sfu(e orlor.nllaw mgulahng consfi�chon ur fhe <br />periom�onr.e nl conslmcli�n. lhat I em aulhorized hy Ihe owner ollhis prope�ty fn pr.r/omi Ihc <br />lo which appficnlion �s nrade nnd I conµ!ly wqh fhe Sfa(n Cnnfrncfors I.aw 18 27 l7CvV and <br />9G 0 WAC. <br />- - ---- — - - - `�%�'-�- - - - - -- <br />Si9n ro D e <br />, , �,,,w.....� <br />FI L <br />��oo <br />PERMI I n <br />E I�D`�-D(�� <br />—. i � <br />u <br />