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03I07l2017 14:38 #1796 P. 001J001 <br /> �E <br /> GTRICA�. PERMIT AP�ICATION <br /> C1TY O�EV�RETT P�RM1T S�RVICES <br /> 3200 CEDAR STREET,E1/�RET�f,WA 98241 <br /> (P)A25-257-8810 � FAX 42r257-8�57 �{E)everettepS�everettwa.gov( www.everetiwa.gov/pertnsts <br /> . .. � � �' <br /> � � ,. : . � . ��. .� � �.�P��fJ��;'1'�`SMTc.1;�FORMATlf#N,. . . . . <br /> pRaEcr aenR�: C� <br /> 9u11..I)1NG AR�A tif residerrtisi�r1�w consU�.�cpon��w�ttiodel,or additfon) sF <br /> �UiLDiNG T1IP�: 0 S�-a�ACH�U 0 S�R-ATfACH�A �PUPLE7C �MIlI.TI-FAMlLY-#OF UNITS:� �COMtMERCIAL <br /> USE OF�UILDING: f <br /> . , . . ��1.'�'�7'RiC�AL AiP!��:ICATiOM•.INFA�NA�►�"fON,. : � <br /> CONTRACT PFtICE OF WORK:a <br /> NUM6�R OF DEVICFS if la+n►volta e: <br /> FIRE AL.AR111? C1 Y�S �NO <br /> q�80ClA'1'ED BlJILDtNG P�RMlT� if a Ifr.able: <br /> D�SCRIPTiI?N OF VM�RK: Il'L� � V� ��' ��� � <br /> : � � � . CO�T�ICT INFORIl��TION� . . <br /> OWN�it NAl1E: 'FENANT NANE IE Comrnerciak: <br /> OWNER MAILING ADDRF�s: s��r l d1�1C�/ " �� CO <br /> cro srn� (/v zw � <br /> OWN�R�ION�: C� ' QWNER ENIAIl.: � <br /> CON'I'RAiCTOR NAi�i�: � c� �' <br /> CONTW►GTOR ADDRESS: str:�r � I ' <br /> '.. � / <br /> cro sr�� z� <br /> CONTRACTOR PHONE: YZS � � CQ#T�iACTOR EMAIL: D/ 3lL <br /> CONT�ACTOR UC. REQUIRED� ���' CITY OF EVER�7T BUStN€SS UC. QuIRED)e � <br /> PRlMARY CONTACT; 0 QWN�R �GON�ACTOR Ct orft�t�se sr�eciy) <br /> CONTACT NA#A�: __...___�_----.. Co�iTACi'��HON�c��.. �' ,�..�/ z-2- <br /> � C�PlTACT EMAIL.: <br /> AQfi'EEMt N7:1 hetebyce�tlly t�t 1 here tead and e�emtnia N�ts�qpkes9on e►i4laqaw L�a sa►r�o to bs buo and Ca►+ecf. Atl prvvis701►s W�s►va iMd o►�r+ance6 9or�n�p N�ls b�pe <br /> ot wn►x wl�a�a,ngple�a w�+er�p�c�l►►,evei�ar not rhe yr�,v►�g aa perrn+r aoes na pr�ur,�a�glre+�r�d►a►�v to v�fe orcanaw tA.v��++�aanr on�ersr�w <br /> la�!Jew�epttlaftr+p wnapuctJon or the Pe►�+�at�it�nrs 77�atr mn ar�Aa�t DY�+e s�aar44 thts pnPe►h�to Daifann tns wor�t Aor whieh�8�lor►u maoo snd! <br /> �wry�YWfN►tAe�A9�L8w T827 RCW and 2A�200 WAC <br /> _ . . ; <br /> " /. . : Clryo/EverettOlfiCisiuse0�+1y <br /> P6IZMIT�i <br /> . ,� � E � 170�-��� <br /> � ��� ����� <br /> �� <br /> � <br />