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. Jaz9zs_�ir�!oo�' aG�� <br /> �IL���'���A�. ����l1��' ������,�aTb�� <br /> CITY O��VER�7T P�RMIT SERVICES <br /> 320Q C�DAR STRC�T, �VERETF',WA 9820"1 <br /> {P}�425 257-8810 ( F'AX 425-267-8857 � (E} everetteps@evere#twa.gov J www,evere##wa.gov/permi�s <br /> - �tr'.. . �" 2i': '• _ "''.i.' uvwr�•.:. .t; ' ' ::r..c <br /> � �� �i�i��:i���;s_ e...N...�: _ <br /> .i� ��, ��r .� � �� T�oN���� <br /> "�r <br /> � <br /> ..�.... <br /> � <br /> �:�� � <br /> ..:. .. .. <br /> . . <br /> . _ , <br /> . <br /> -. _.. .: .. ... ... <br /> . . ...- <br /> . . <br /> ��: <br /> .:....::�iP.. . :., . . ... ;rl�. !_. .•}�tiN. •�fH: <br /> . .: • <br /> . .:.�.::...Iv...���.�.:.: ..t_•..... ...�.. v�:'�..'� '���' <br /> ..... .r. :�.......�•�.4.c�_ n,.-�.'::' ,C..:i.�. cyY.i ....='-� •+:. �rt,..t:.v:•. •r.• :Lr <br /> .........�......t...__..a.. .:......: ..... J..........._ , <br /> PROJEC'I'ADE3R�SS: �' � <br /> Bt31LDIiVG AR�A(if residanfial,new constructinn,remodef,o addlHon) SF ' j <br /> BUIt,DING 7YP�: ❑S�Ft DETACHER ❑SFft�17TACHED CI DUPLEX L7 IUIULTI-F'AM�LY-#OF UNITS; �COMM�R.CIAL ? <br /> U5E OF BLt1LDING. O�'�'!�G �t/�,P�77" � ? <br /> .S�:t't`-'ui �1�: faS. - 'j4•�'l''�C�,.� y:u - �^,.�r _ _ � 'I.• :'')» � '.l';� i:�r��r -'�k� � 3 <br /> �. �J p ''�[L t`,�' 't� <br /> ��.�TLTR��--•1.:� ,�L.�. „� �0., ..�� <br /> :�. � �p I t+1 RM�,�T9 N�" - <br /> C'�� .�. ••t' .x4M1� •.�"• <br /> .� <br /> :a� .f.�.`� A�-� i{,��� "•y�. <br /> p'Y�:t. .."1. - <br /> .33:'•..yn,a�.u..e. .L.. :-r11f.. ..a:�•-q...-'h�avltv..:r� .a.�F,1:•. ��u'.::.:j:'.��:+^f.�:��.h," '.7_ �.1<:.',:i <br /> _ .i£��:. <br /> CONi'RAC7 FRICE OF WORK:$ �`Q� • ' <br /> i <br /> NEJM��R OF A�VIC�S if law voltaga:• ' <br /> � <br /> �1RE AL.ARN[? ❑Y�S �I NO <br /> ASSOCIATED BUI�.DIN�P�RMl7# f a (ioable: <br /> DESCR(P7'[ON OF Wt3RK: <br /> E <br /> ..5. ... - . . • . , . .. �. - .� . .�y��� . � � . .. . -. . . . .. - " - .t <br /> .� � � �;� COIyTACT�NN�ORIVIA'T�ON:` - . _ - <br /> , '.y _ .,._, �•: 'S- <br /> _ <br /> OWld�ft NAME: � 'TENANT NAI�� lf Cammercla} : �,� j <br /> OWNER.MA1�.iNCti ADDR,ESS: stREEc ,�7OX � � f <br /> orrv �'"' srn-� Mi//7 zi� Z --ZZ47 � <br /> OWNER PHONE: OWNER ENlAti.: { <br /> i <br /> F <br /> � CONTEiAC'TOft NANlE: � G1 I A1 <br /> COiQ'I'RACTORAt7DT2�SS: 3TREEf j`!/ �7t/X , <br /> � q �� / +� i <br /> C17Y I/l I� � 67ATE'J!�/'� ZlP G <br /> coNrt�acroR�Hor��: �-2 '�- �� <br /> co�vr�croR�mat�.: � , /I?�rR ! , CD/� ' <br /> CO1V7'RACTf]R L[C.#(REQUIRED}: ��/U��C '�D z GITY OF�VERETT F�E151N�SS LIC.#(REQUfRED}: O ` <br /> pR1MARY CONTAGT. ❑dWN�R v �CQNTRACTOR.y.SCI b�lT�iER(Ptease Specify) <br /> CON7ACT NANI�: CONTAGT PHONE. ��/ -73 b"lQ S�-Lp <br /> , �C�f 1�J�I S L.�LJ�I CONTAC'C ENlAiL: j��N J�J S.�.J���� ���W 1 T• �0� <br /> ; <br /> AOREEMENT•7hereby cetiify thaf I have read end examfied thls appNcaffon and Know ihe same to be frue and corYecf. Ail provlsfons oPlaws and ordinances governirtg fhls i <br /> type of wark will be completed whetherspeciffed heretn or not 71te grantrng of a permlE does rmf presume fo gNe aufhorlfy to viofate or cance!the prov�slons of any other sfafe or <br /> foca!lawregulating construcdon orthe,oaformance ofconstruction. Thaflam authorhed byffie owneroffhls propertyto perfomr the workforwhkh ap�lfcatlon is made and l � <br /> comply with the Sfate Contractas La4v 18.27 RC1Nand 28&20f1 WkG � <br /> Cify of E'veieft Officia!llse Only i <br /> j <br /> �� � <br /> � � � ���-�� <br /> � � <br /> . , <br /> � <br /> ������� ; <br /> �. �� � I�,O� - 2�2� � <br /> Qwner/Au o��izedAgentSigna#ure Date (f2ey3sed 10/12/2018) , i <br /> . j <br />