Laserfiche WebLink
�T i��L �� r� �� � <br /> G3TY O� �VERETT PERMIT SERVICES <br /> 3�0� CE�AR STR��T, �OtERETT,lNl�9�2C11 <br /> �P} �25-25�-�81 Cl � FA�425-257-8857 � (�}ever��k�ps c�z��reret�wa.c��� ( ��r.ev�r�ttwa.gov/perrnits <br /> � .� ��T�1T'� i�iF 4'� <br /> �'' K� '«�, ' ".��;. � �- �,.��=�., f--�-", <br /> �RC1J�£:T:��L3���S:�� � � � �'� � � ..,x �-; - � � �� <br /> �Bt�It�C3iIN�'",��A yifresi�er�tfa4, nevv ct�r,struct;on,r�:moder, or addition} S�= <br /> Btf(LbIP��'fiYi��°. �a SF�-[7�TAGMEO c�+ SFR-A7;I�CHED o [7�1PL�X �tv1ULTi-F1��vt3LY-#��F tJ�ITS. ��� c;ONtMER�1AL <br /> 1.3��{.?��U�l.t3![3t�,,. <br /> �����r�����,����`c °r� r� ����� �,�°r <br /> �r��������������re���: $� � ���,2; <br /> f��i���F�C3F��VI��S�=.f it�w v�aita e): � <br /> F���r�LAF�C�? �Y�S cz 3VC7 <br /> A sSQC(A�'���IIIL�It��a PERl�IiT#(if ap licable): <br /> ���c����rs�a�c���v�a�a�c: ��� � ��-� � ' �-�.. � �' -�, �"��t�.���� �,� � <br /> ..k �'` � r�1..+^���� ] . <br /> . .. b6da 6I1110� ���i�F�#p1���liHO <br /> C�W�d�Ft 4'dA��: <,"'�,��`�' ry^ �a�^ ~ �`"�;"�'�' TENANT NAME{3#Commercial : <br /> -a _� <br /> �7t�P+�EF�i E�A�Li3ti1C°s A�tC?Ft�S�: s-r��c? `- i �c. s <br /> . . . 4����� g"itTE Z:�� ��� <br /> �}�����H���� �- ���: Q{����+ ��f��L.: <br /> ������::���.���.�..,� <br /> �c��s�`€�,�c�r�ra r�a:��: �:�" `� �, �- , � �� <br /> �C�I���.f'sT.�R+a.�I�R�SS.: ST�EE� t•� �� � F � <br /> „ �� L w ` #y (�--{y' ' }..-��^y <br /> C!TY �,,.���' ...... .. STATE�1�3� . .. . �3� S �.?'�i,,.R� <br /> .�i����.��a�'V�' ��{����..�. ..• �„ �. .. G�, .C+.. �iQ���ii�.'�iT����a��� <br /> 4 <br /> c����cr���.r�.�r�����RE���:.�i��.����`���� ci�v c�� ������°�������s��.i�.�����u���a>:�,}a���-� <br /> P3�4Pd€�RY�ONTAC'T: c>OIN�tEE� �a GONTRr�GYOR C�THER(Flea.s�Specif}r����.;� ��i�• ` �'' �, ��,�.���'�- <br /> ��hi���T�tkh�E: C�NTAGT PWf1P3�. � e� • �,� < : ,, �.,� ���`Y � <br /> �'" ^{$ {{.���;k+ q \' C�}NT�tG1`���,EL' ,,' � 9 $ ,¢c' {''}}� [,+�' ��ry( <br /> � V�� -"`�..��°A�.�� dy.�.�: t `3�'4��,iF� .2��� •;���A� � ..5...��'��>`3' i' � i•��:������ 4 <br /> k� <br /> Ri�R��a'k'r�T+��'": d h�re8��erfirfy f,'�af 1 ioc�✓e read ano e>:amGnen'thss aAr^�;icafi�^o-r,y krro�v fhe same tc'Je trua antl oor,� �, RP,�r�vis?or�c�t?asvs end aroinarac�s g�veminy this fy�a <br /> oP arGr�=,v°n'(t�e�mp��C�c�s�ihet�rer snecif�e,�`herer.�ar na[_ T,he grarting ot a,�srmit daes nut��esu.�ne*o gtv�aufhora�y���vrot�fe a€ca+�c?1'he^rovisions af ary other state or <br /> ;aca?1ai�r�e��udating c�n�lr:;cfion ar€he ue�`c�mance ci r,onstn,ctinn. That 1 am authorized by D9s o�vner of Chrs prCperfy te cffr�or`r'n the wn�k fot;a�h+ch appJrcatren rs made and i <br /> conap7y�ir�iih u��e S+ai�C�rrtr2cE3r6 Lac^i s6-27 RCt^✓anQ i9&.2G0 YYAC. <br /> City oP Everei4 GNicra�`Use Oniy <br /> PERNii7# <br /> �� ��� ea- �� <br /> �� -'-��,`-�--� ��-� � ,�---� <br /> OwneriAv arizeci�g�nt 8ignature L�ate ;Re�•+ssc�9r23�7fl16) <br />