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/o«'�� -i�3�v,aa/ ���D <br /> �����'����1L ��(�.I�1[� �1��'�Q��1�1[�� <br /> CITY OF EV�RETT P�RMlT S�RVEC�S <br /> 320Q C�DAR STR�ET, �V�R�T�i',WA 98201 <br /> {P)�25-257�8810 � FAX�25-257-8857 ( (�)everetteps@evereftwa.gov� www.everettwa.gov/permits <br /> - ._;�� . . �::�;:�•��� - - - -<: . . . . - . <br /> _.�.` <br /> ��:D - <br /> :�R E..:.�;..$.,;i'�,.... ..�, <br /> , I N� I�iIf1A`�'�O`. <br /> .� .�;��,_.. <br /> .ix — _:i:.4.Jsti:'e..Y:�v:. ' <br /> I'�2QJEC7"ADDRESS: �� _� <br /> �UiLDItJG AR�A(if residential,new const�uction, emodel,ar dition) SF ' <br /> BUI4.DING'FYPE: �SFR DE7ACHEp ❑SFR-AT1'ACHED CI DllPLEX CI MULT[�FAMlLY-#OF UNITS: �GQN]MERGIAL <br /> USE OF F3UILDfNG: 4E�' G �'V� � <br /> - 1:1•: -v: ?i`.r - :•r:�cp,�+ ..r.,,- ,.. - _ , _ . <br /> . . .:���, _�...•�.�'��. <br /> - - :E�,kwfiTRIG�"j;'A�?bd:�Lf"".:;�'`��3�. .Ol'[��� .,:' - :t-� .<'t•. <br /> ..�. �p. �..�. ,�,., II�A,'1'R011� <br /> �. <br /> - .'i. c.t•.e -.r.. _ .a:, ;-�:.-I.r...4'�.. t¢L - ,..y�.,. •r'�i•, :t'! ::.4:� �r 1. ..x.. <br /> GONTRACT PRIC�QF VIIpRK:$ f Q a • <br /> N[1N[BEf2 OF UEVlC�S(if low voEfage):� <br /> FtR�ALARM? 0 YES NO <br /> ASSOCiAT�D BUILDING P�R.MIT�fi(if applicable}: <br /> D�SCRfPTI��OF W012K: <br /> _ � � . <br /> �:`. -� - .� _:,. � � ' � ,CO[yTACT`IN�ORIVIAT�ON:�.� - • .. . .. : . - �� � � •` <br /> OWNER NAME: � TENANT NAN[�(If Gommercial): � <br /> OWMER IV�Af�.ING ADDRESS: sra��r ,�� � ' � <br /> cin �,�'"� sTa�rs vVrT zr� �Z �Zzb7 <br /> OWN�i2 PHONE: OWNEIZ�MAfL: <br /> CONTF2AC70F2NAIVIE: � G1. ..J. itj1 <br /> COi1TRAGTOR ADDRESS: s�€R��r �a $D}( <br /> cirY J%[ iL. l� srn-r�1�/4 zi� �� <br /> CONTRAGT01�i PHONE: 'L. �'� �� CQNTRACTQR�fl�A1L: �R�I. I�I��I� I I ri CD� <br /> CON7'E2AC'tOR LIC.#{f2EQUlRED}: ��IV��C '�Q,z CITY OF EVERETT�USIIVEBS LIC.#(R�QUIRED}:�ID <br /> PR[NtARY CONTACT; �QWNER µ �I CON7RACT0�„yCl OTHER(Ptesse Speci#yj � <br /> CONTACT NANi�: CONTAGT PHONE: �a/�-"�3�j—�js1�.� <br /> • ��f�1 N 15 ��.bl� co�vr,acr��nAFc.: p�N�!S.L',e0l.tl G 1:1�"w'1 T. L�.otYl <br /> AGR��MENT.T hsreby cartily ihat!have read end examinerl this appilcaflon and Irnow the same to be frue ancf anrrect. All pmvJsions oflaw.s and orrifftances governing ihts <br /> typs of work wlll be complefed whether specifiad hereln orno f The granting of a permFt does not presume to give aufkotrfy fo violafa or canee!the provislans of any otherstafe or <br /> looal latw regulating consfructfon or the periormance at consGuctlon. That!am aufhorizad by ths owneroF fhis properfy fo perform!he work for which applicatlon is made and I <br /> comply with ths Slate Contracfors Law 98.27 RC1Naad 296.200 WLIC <br /> City ofEve�it Officia!Use Only <br /> FEE • <br /> � ��/9 s� <br /> PERMI7� <br /> � � � �-/ � ��l o� - <br /> Owner/Au or zed Agen Sfgnature Date {Revlsed 90!!?J2095) <br />