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Jan 23 1708:59a Ga�vin Enterprises Inc. 360-653-8534 p.2 <br /> I <br /> � <br /> I ������9��"4� ����Q� ������4r6'����9� I <br /> � CITY OF EVER�fT P�RN[l�SERVICES I <br /> 320fl CEDAR STR�ET, EVERETT, V1fA 9820` � <br /> (P j 425-25�-88'f 0 � �,4��2�_��gg� � ��� everetteps a�everettwa_gav � wv�rw,evere�vua.govlperrnl s <br /> ��OJE�T SD'p'� 8[���Itt{�� �---m__.a� � <br /> , � I <br /> ��RoaF�r aann��ss. LY`i C � - ;- , <br /> � _ �. ,. � <br /> �iBUIL�ING f�A�EA 3f rasidentiai, neu�co � � <br /> t n--ArucYion,rB17tDdCI�or addition) 5F � <br /> I <br /> I;t3UILDIIVG TYPE: FR-DETAC3-fED C1 S�F�y47-f'ACE-IED ❑ t7UP � � <br /> �IUL71-FANlfL'�-�.pF LlNi1"S_ ��CONiNkI RCIAL <br /> �USE OF SUlLDS%�: /�--�� �--_ , __. <br /> � � I � <br /> h� �� <br /> �'�gc�e��������'��I+� ➢��o�c�`�-��a� � <br /> I`•C��]i�,GT�RlCE OF 11�I�RK:�$ 3 � r-�� d <br /> ���� � . <br /> �,�lUM6Ei;G�D�UtC�S (if lawv' liage)� � <br /> � <br /> +F I�e Ia€..F4t�M? L��tES `` �p�"O <br /> .�SSOGIl�i"�D BtJti�ffll�s F'ERflI}t�"#(f appl�cable; <br /> D��Cf�[PTiflf� �7F�{11Q1@K: <br /> . � <br /> • , -� IrzvnccL� ar�� �Y c. �Y- Y'1�;..;; - <br /> iy <br /> � <br /> �� <br /> S I <br /> i� <br /> �� <br /> � ����°WG`�' 6NE�O�t1+��D��7 <br /> �N1If�!Er�NAME: <br /> ��(VAiV?'itifAM�{f�Commercia!): <br /> OlNPIE�iL'fF�ILING 4i�D£�ESS: sr,�e�r I <br /> � � cr� <br /> S1'A7E �p <br /> OINNER�HOAI�: ' ONtNER Ei11fRIL: <br /> CON i P.AC'FO��d�ME- C-�r��-v,�1 j�r� <br /> ;GON i RAG7QR.�DDRE35: sr�eEr i�� -� f��l-z (`-c V� �G i�s�1 �`'1 �a <br /> �� I - <br /> ;' ' �m' t`�`l��..rv S-�� ! � s-rA� U.,'q z�;� �� <br /> �CORTRAC I OR PiiOhfE: �jC.� ('a�j j j�1.3cJ COPI7RACTOR�NIAiL: ��:-Za.nt�c;.�y � C.0 i:'3 � �\ <br /> ,(ti-�_rlr�.�,�'�Y1T. <br /> COf�lil�ACTQi� LIG:u REQU]RECI- � <br /> c ,�_ �a����T Q�'�G S ci�v aF�rr�����sin��ss uc.#t�u�R�n�Je� 9 r e z d� <br /> ��RlMARY CO�UTAGT: p OWNER �CONTRqCTOR }]OT�E E R�Atease Specify) �� <br /> �CQ(�]if�G i i�1AME: i <br /> i , GOAITAGT PHDf�E_ '�� � <br /> .��G �53 2�35 ' <br /> '� �i�:'?1�:.i1��Ci.� �-T�;,I�,�`L:�`.�i� CQNYACT ENFAIL. n - <br /> l.i.:�'I4`.Y��c::_�;C�CY-t..�7�,YIT-L.L.�Y}'S <br /> AGF2F�iS,�tuT:TFe26y certify fhat!have r�ad and examined this ap�oficalivn arrd krrmythe s�meYo be t�ue and cvrrec� ql)FroviSlaRs of faivS an�o�UirtznC�s emingihls <br /> �3`P`�°�'�'a�`�c t'rnJ tre cample,ed wh�therspecifiEd herzrn ornet The 32n(rn9 of a perm�7 doas not presume!o grve aulhartly to vioTate orcancel the provisions af atherstate er <br /> Iccal lai:rcoufarrng cansFr,�ctl�rr orrhe pe�rprman��pf���lion. Thatl ar1�au�harired 6ythe ownerofthis�vraperfy ta perform fhe v�ork rorwhich appTrcafion i .ade and 1 <br /> cempfy�r�ifh the Sfate Coniracfors La�v iB.27 RCIh�and 2g6�2�0 WAC. <br /> Glty of�verett Otn`ciaf U Onry <br /> �EE - i <br /> � �� - ;; <br /> ___� <br /> n � �I f'ERMIT�# _ <br /> �.i�2 i f��31/�_ � ���` � \ <br /> O�vnerlAutttorized AgenTSignatuee ' • <br /> Dats <br /> (Revised 7Q/i2/201�'J <br />