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��.����,���� ������ ,�,�����.������ . <br /> C1TY OF�VER�TT PERMIT S�RVIC�S <br /> 3200 CEDAR S7'f��ET, �V�RLTf', WA 98201 <br /> (P)425-257-88'10 � FAX 42a-257-8857 � (�}everetteps@sverettwa.gov J www.eve�eftwa.gov/permi�s <br /> .y.. r yi . - ., et. a,.i,.,�.- �vn..�.— .t, .�... - �r,r.. . <br /> _' - '`_�' t1J��4'il"'�S T� _ . . . <br /> �R. !� ���91�I��OQ�M 'f'O <br /> > �. A 1 <br /> � _i��.��._ <br /> :::� �� <br /> .s 4:.. <br /> -4+ ..Y- :f�' t•,.:� <br /> .,t,: <br /> ^.:�p. si' �:�.<.:._i' <br /> ' M•. •.}. <br /> PROJECT ADDRESS: - -�� <br /> �Ul[.RING AREA(tf residenfiat,new consErucfion,remodel,o addltfonj SF ' <br /> �UILptNG TYP�: ❑SFFi-D�TAC}tEl] L7 SFR ATTAGN�D �DUpLEX I�MULTI-FAMII.Y-#OF tJNf f'S: �CQMMERGIAL <br /> us�a�auit�r�c: dE G �V� . <br /> �F e •..�i �_ :�•:a�eir_Pi•. �tarp�v w x;�. ' 'jz.��� . .. : <br /> �i�.� - . ///���...x �i i r•x1�g.^.i:t:•P..�•t•:,�if, <br /> ..�z::,, - - .:�� ��T�'%:. -���`'��hl��a. ..,o... -�'�'_�oi�iui.,.,raoN��� �.�,���=�.z���:��_ ;,,:...�. <br /> !�, N Q. �. <br /> ::��.: ..� <br /> A A yy/.�4 j� .°': <br /> ,:w�:.i i ..t.. m�s4L.,c .SsiYtd�EwS��:a.r.6•�y R���• ''JL.� <br /> �•,.•hY��.�^� ..�{v:. �Vt�se•a• ..yv...i. �l•rv,•i :C•�._ ,�fi.r�l�'�.'iFrir"V:� ���i�,_ <br /> GQNTRACT PRIC�O�WORK:$ � <br /> NUMBEFt O�D�VIC�S if law voIf e:� <br /> PI1�E ALARM? ❑Y�S NO <br /> AS50CIA'T�D BUIi.D1NG PERMIT#(if a pifcable: <br /> DE5CR�PTION O�WORK: <br /> �r•.�. -�� . � - - : . � - � � .. . �.CaMT,A;CT�IN�OR'IINAT�ON. ' - �� •• � -� . . - •� <<: :t��,• :� <br /> r <br /> OWNER NAiI�: � T�NANT NAM� If Commercfa[j: ��t} <br /> QWiV�R MA11.t(VG ADDRESS: sce�er �'7OX �j . <br /> �� �.� �A�wt/r4 �� IZ -zza7 <br /> OWNER Pht4N�: OWN�R EMA1L: <br /> CaN7RACT0F2 NAME: �I /t,1 <br /> CONTRACTOFt ADDRESS; S7REE1' PG7 �OjC ! <br /> cm 1/� /G l� srn�� z�P 2 ' <br /> CONTRAGTOR PH(}N�: 5'Z �' � CONTRACTOR EMA[L: �' �. ��~Je � I r� C.D� i <br /> CONTRACTOF2 L1C.#(REQUIRED): (��/V� D� CITY OF EV�RE'fF�USINE5S LIC.#REQUIRED):�IOS <br /> PRIMARY CONTACT: ❑OWNER �I CON7RACTQR ❑OTHER(Please Specf[y) � <br /> CQNTAGT NAM�: CONTACT PHOAIE: Z�_73 6"LpS��p <br /> . 1��'N!�1 S C�.D l�t l co�vrAcr�nw�.: £a�' 1�f S.L'.K�UJ 4 �1�'w'1 T, L�orY� ; <br /> AGRE'�MEN7.•7'hereby cerfl�y fhaf!have read and examined thls appllcatlon and know ihs sama ta be[rue and corrsct Al!provlsians oflaw,s and orrlinances govemirlg ihrs <br /> type of wo�k willbe compieted whefher specilfed hereln ornot. The granting ofa permR does not Aresuma ta g�ve authorifyfo violate or cance/fha provisions of any other sfefe ar <br /> locallaw regula8ng construcflen orthe perfarmanc�of consfruction Tha!1 am autharized by the owneroFthis propetiy to perfotm fhe work for whlch appllcation is made and 1 <br /> comply wHh tha State Confractors Law 18,2T RC W and 28&.200 WAC. � <br /> Clty of Evereit Off/cla!Use Only j <br /> F�� <br /> � <br /> � � �aa�, �a � <br /> . � . � <br /> � <br /> PERMi`f# � <br /> �D'o?.lP l? � ,��� -- �\ l. ! <br /> Ownerl u orized Agen Signafurs Data (Revlsed i0/1?120�6) ' <br /> i <br /> • i <br /> i <br />