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/O��e25 �//5:���5'8� <br /> ���������� ������I �.�������`��� <br /> C]TY OF EV�RETT PERMJT S�RVIC�S <br /> 32�Q G�DAR STR��T, �V�RETT,WA 982D'S <br /> (P}425-257-88�0 � FA]C 425 257-8857 � {�)everefiteps@everettwa.gov� w�rw.e�arettv�a.gavlperrnifis <br /> _ - ,_;- , - - - - - - ...,.,�.,,. - ..t: . ... . . ������°• . -. - <br /> ;:��=��OI�iU;I`�'�'�ON..:::_ <br /> ....., :.. . <br /> :PIk��J��`�'�:51'�'E � � - <br /> . : <br /> ;.'� - - - <br /> _,, .: ; -.. <br /> . <br /> .: <br /> .. . _.. ... .., <br /> . . _- <br /> �... ...._. <br /> . <br /> .. <br /> ... <br /> ,.:a..�.._}:.�.:`:'.:ti.-�...a..�...:.: ��.•.._.• . ...:..�...::.:.•:� ..M1_,.i' :Y.i.' ' ' ' ' <br /> PROJECT ADDRESS: <br /> BUiI,DING AF2�A(if residentfal,new construcEion, model,or a ition} SF ' <br /> HLiIL1311�G TYPE: C�SFR d�'fACHED Cf SFR-ATI"ACH�D ❑aUPLEX CI 1i11ULTl-FANIILY-#O�UNITS; �CQMMERCIAL <br /> us�o��ut�nt�t�: OE�' G �1��,�'..�7T � <br /> - •��=- =�::: - - - - �-. -- - - - ;��: ,.,:�.:�:...;• - - � <br /> :��:� , . <br /> - _ �;i. <br /> ,o� �otiMAr o�i� <br /> 'El��'TRtGAL�A.�'�?'�,�C '8"9 P9 N Y <br /> -s�:. _ <br /> � <br /> - � ,. <br /> :�:. �_��.,.. <br /> a.`.LY�.4:a +�^iYt. ':La :.}�;, - �iLh 'v+i'.4 _ - <br /> CON7RACT PRiCE OF WORK:$ / � ' <br /> NUMBEFi O�i3EVIC�S if fow voI#a e).� <br /> F(R�A�.A�M? CI Y�5 NO <br /> ASSOClA'C�D BUILDINC P�RME7'#(if app[icabls): <br /> D�SCi2iF'TEC?�i OF WOR;C: <br /> - � - , � � �_� .� � ' � ',COM'�`,ACT�IN�ORt1?IATxON: . . . .. . . � � . ... _ � _< <br /> OWN�R NAiVf�: � TENARE7 fVAtNE(ifi GommerciaE): �(,� <br /> QWNER NfAILING ADDRE55; sTaeEr a ,gox 3 . <br /> �� � �A,�W� Z�P Iz -zza7 <br /> OWNER PHON�: OWNER EMAiI,: <br /> CONTRACTQR NANE�. .��"L UGj•,../U/t,r <br /> CON"fRAcl"ORApD��ss; STREEf PO ���C <br /> CITY � I� � STA'i'E�/i t zIP � <br /> cnNrRacro�z�Ko��: ��Z �- � CON7F�,4CTQR�INAII.: f?-R1. /Yl�"�i� ! 1�"'. G'D/�'l <br /> COIV7RA,CTOR UC.�(R&QUIRED): ��iv�l�C ?D GITY O�E1/ERETT F3USt1�IESS LtC.#REQUIRED):�O,rj <br /> P121NfARY COh1'�AGT: ❑OWN�R v��CONTRAC'FOR 17 bTHER(�'tease Specify} <br /> GONTAGT NANIE: CONTAGT PHOME: �D�'"7�J�"CPS�Cp <br /> . ��'Nu� '�'J C..I�.yb�/1I CQNTAC7 EMA�L: D�J�J�!S.L'�0l�1� kl�'W 1 T, L�oi'YI <br /> AGR�EMEN7:T hereby certrfy ihaf 1 have read end examined thls applJcatFon and know tha same to be trua.and correat. A!!provisians of laws and ordfirances gaverning this <br /> lype of worlt will be camplefed whether spea'�ed herern ornot. The granting ofa permit does not presume to gfve authoriry to vialate or cance!fhe provisions of any other stafe or <br /> Jaca!!aw regulating const�uction or the performance of constructlon, That!am authorPzed by the owner of thls property to perform the work fvr whfch applfcation 1s made and I <br /> compiy with the Sfate Confractors Law 78,27 RC W and z9&2oD WAC <br /> Cify of Evere#0(ficfa!Use Only <br /> F�� • <br /> . �'_�'�- 55 <br /> PERMIT� <br /> ..--/ .� � \�v '` 1�� <br /> OwnsrlAu orized Agen Signafure Oafe (Revfsed 90/�2/2095) <br />