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/ozqz��5. 3,� a�s� <br /> l�L���`�R���� �I���ll�' A�P�I�,��`JI�� <br /> Cl�f'4'O�CV�R�TT PERMIT S�RV[C�S <br /> 3200 C�DAR STREET, EVERE`fT, WA 98209 <br /> {P)�25-257-88'I O j FAX 425 2�7-8857 ] (�)everef#eps@evereftwa.gov� www.everettvva.gov/permits <br /> "-t', .i;' . ' ?" 'si•P 'u• 'S' b 1„C .p� �+--^' .�'^�'�• r<wr.o.•..:^ 'u�; .'I•-..z•;uz -- � <br /> � � � • ��:' ��.QY�i�R".S�' ''�p�.�O } �lO '�'-'' ' . . <br /> �r> ''t. N�..rP <br /> ..li!!! .�_ <br /> Aei.y '�1:. .1� f <br /> .a.. <br /> '1. ..a.. ¢t<',r: :.'+e' •:l� ..Ei...I. <br /> 4:�. :��..�:�isv':a:•}._iv:� �t:�.. �•+if•.�i�.Sr <br /> PR�J�CT ADpR�SS: .� — <br /> BUIL.DING AR�,4(if residenflai,nsw cons#ruction emodel,or difion) SF ' <br /> BlIILI}1NG TYPE: ❑SFR-DETACHED ❑5FR A'iTACHED L7 DUPL�X C7 MULTI-FAMILY-#OF i3N17S; �COMMERCIAL <br /> USE O��UILDING: OE G �U�1,,.� ! � • <br /> ��1��i�l�.:i F• '?1i'M1. . . . 'F'r::,.,+�.y�. �un w�..��s...,,. _ _ - ' y�1:-.:u��� � l:.- . <br /> r.�: 'Y .:;Y; .-•r•.•:^::<.,-,.�,.�. i.;�: lf,.. <br /> - - `'.�L''Ft�"['RI4...l��Ap��:.�• ,<,'i'�ON�_ ..��R. .,TSOry� :�t: _ :.�.�: <br /> �:;,:: :�,.. A 1�#. ,� :��;. <br /> .:1C. r.cCy:r •:.'iMt�r,K�..G.le e�'!,•1�Y'.u��:'l.��A..•��54 •f.. �1.. <br /> - Lna.q. .q+t•,•.�+.�:� .-�f.�.'.i .i�._..'iri.5'v.41...-:v-.�6 .z�:�}•i.�i�. <br /> CONTRACT PR1G�OF WORK:$ f,�}� � • <br /> Nl1M�EF2{?F DEVICES ifi Iaw volta e):� <br /> FI�E ALAf2M? CI Y�S NO <br /> ASSOCIAT�D BUILDING PEhM[T# if a licable: . <br /> DESCRIPTIOIV OF WORK: � <br /> . ��� - - _,. � �� �- � ,QOII�TACT.'1NFOItI�AT�ON:��- • . .. . .. � � . .. =r.;. , -r <br /> _ ,. ,,: <br /> OWNER NANlE: 7�NANT NAM� If Commerctal: (cr <br /> OW�IER fVlAIL1NC ApDft�SS: srR�r ,gQX �j ' <br /> �� �- SFA�Wi4� �� /2 -zzo7 <br /> OWN�R PHON�: OWNER EMA[L; <br /> CONTEZACTO•R NAM�: � Gt� / /(_,� � <br /> CQNTRACTOR ADDR�SS: 57REEI' �� ��x <br /> GTY IG STATE�� ZIP � <br /> CQNTRACTOE2 PHONE: '� �" � CONTRACTOR EMAf1,: /�'/e f. f)'}�r,� � � � CQ/}� <br /> CQNTRAGTQFt LIC.�(REQUfRED): (���V4� '7�Uz, CI'I'Y OP EVERE7T�#USIN�S5 LIC.#{REQUIRED: U <br /> PRINIARY CoNTACT: Cl OWNER �CONTF2ACTOR ❑OTHER(Ptease Specify) <br /> CONTACTNAM�: CONi'ACTPHQN�s ��-�36--�p5��p <br /> . Fj�'t�J I�1 S L��b(�I� coxracr�nru�«: D� 1�I s.c�Ow� Kr�'w'17'. �On'! <br /> AGRC-�NOENT T hereby cerHfy lhaf 1 have read snd examined this applkafion and knowfhe same to be trua and corr'ect Ail provlslons oflaw.s end orrlinances ga�ming thfs <br /> type of wotk wJll6e corop/efed whether sps�sd hereln arno� 7he grentfng of a perm�E does nof presuma fo glve autha�l�y ta vlalata or cencel the provlslons of any ofherstate or <br /> lacallaw reguladng canstrucfian nr fhe perfonnance of conslructian. 7hat I am authorhed by fhe owner af thls properfyto perfarm fhe work for whfch appllcafJon fs mede and l <br /> eompy 4v1th fhe Stafs Confi�atars Law?8.27 RCYV arsd Z98 2Aa WAC. <br /> Cily oPEverett Officia!tlse Only <br /> FE� �.'j <br /> � �'//9�� <br /> . � <br /> P�RMiT# <br /> � 0�-0�3 <br /> Ownar Au or zed Agen Stgnature Date (Revised i0/�2/2095) <br />