|
'�j`� --, ��f���.� J��`�i�(�,��,� L'� �C,'i�1l�l ��� /` �LJ'� ,`,G!1���]�9
<br /> `/ ��,
<br /> c�y;;' C9�Y 0�= �V�C�E B 9 k��E�MI�S��VECES
<br /> ��—=— 32�0 C�DA� S!��L I, CV E��I I, U V/�9 8 2 0-I -
<br /> (P) �+25-257-88�10 I �=A?t�25-257-8557 I (C) everefi:eps@evereti�vva.gov I ww�N.everei-twa.c�ov/permits
<br /> r
<br /> : �������i ���� �C��OGA6��a���L`3;. ,
<br /> � -I
<br /> ��Ro��c�����a�ss: �-{��4�� ,fi� (��l'��'�✓Ci.�f'�� ! ��l/�?(1,�� � Cl�c�•� � �
<br /> 4�UIlDfdVG AE�EA(if residential,new construction, remodel,or addition) c��
<br /> BUILDING fYPE: FR-DETACHED ❑ SFR-Al-fACNED ❑ DUPLEX 0 MULTI-FAMILY-#�OF UNITS: ❑ COMMERCIAL
<br /> USE OF�UIlDINC�. + �_ )(/��f',;�> / ) - —
<br /> E���T�ACA� s�P�@�����fi��7 �����i�A5�9��
<br /> _ � ,:;, ; -
<br /> COIVTRACl't��aC��5�VVOt�6'a°•� �(�,�.—"-
<br /> NUPJIB�l�Q���VI��S(if low voltage):
<br /> FII�E ALARNi? ❑ 1��5 p�� � -- —
<br /> ASSOGIAT�D BUI��If�G P�t�P�i 6 d#(if applicable): �
<br /> �i��c���i e�fv ��vv���c: 1 �' �1 ,rC � l�) D�Mlv�� S �,� G.D2�I� .�%�� �rr^i'✓'�'I��'-.
<br /> �I.(�G� �'�!�;.f �_��� �-�-
<br /> I - - ������� �������.���� _- _
<br /> .
<br /> OWNEt�NAN1E: 7 � � � ►1� l.i��L�� i��Af�l i IVP6Vi�(9f Comaa�ercea&}:
<br /> ,OWNEt�MA.iLING A.DE?[��5�: ,� sraet-r �'�' I,�� �,'�L��j� ���¢m,_
<br /> 1 .�,. - -- � C(TY STATE �g_ _--J._ ZIP ����
<br /> �3� �
<br /> i�vu«�€���e-��i�r�: ��.��.P''�,�(,P._ �aw�v���n��a�P_: d'=��.,i�����, L1 i l,l,�lJ�� �L1hr}�`r��„��IYi'''►
<br /> COPd"i RAC i CR NACJ�:�I�� � � �/ t '/��1��. - - --
<br /> c�IV�'E�ae i ot�!��h�R�ss:�� s�eErvl`J��I��q,� — -
<br /> I I�v�, �..=-- _-._�_...___ — ---- � _..
<br /> c�rv �� �__z s�___ "�U� c,,
<br /> . STATE � ZIP (J C�
<br /> coN��rac�oR�t����: 3� —3 � (1� corvr€�,�crot���r�a�: �a���; ', ��-i��=n�,;i� r ;��,�� . d �,r;'�
<br /> ,COi"J!C�ACTOt�l6C.�IEQUIRED : /'� I? r1 ` ` ' '] '
<br /> � � 1J ' �- 4r-�r Ci I Y f���1f�k��`1�'k3P3 SB619�SS!9�.�(REQUIRED): � 3 V
<br /> _ ,. _ _ _
<br /> , . _
<br /> �C'RIIViARY CON I AC a: 0 OWNER �'C�',ONTRACTOR 0 OTHEFi(Please Specifij) �
<br /> ( I —
<br /> GBIVTAC�F IVPI�F, C.�I�TAC��F�f�I�;�: �"� .�.
<br /> i
<br /> � } N�"� ,�� ��t ��� � /�� � = � �/
<br /> _ � r 1��"�a� � �. Cf3NTAGT�MA9�: �`�,�, i,� ,.,=�- f � ,�l �� ti
<br /> � r . ���. -.���'y
<br /> AGREENIENT.•T hereby certi(y that I have read and examined this application and know the same to be true and co��ect. A/l provisions of laws and ordinances governing this
<br /> type of work will be completed whether specifred herein or not. The granting of a permit does nof presume(o give authori(y to violate or ca�ce!the provisions of any other sfate or
<br /> foca!law�egulating construction or the performance of consfruction. That I am authorized 6y the owner of this property to perform the worlc for which applicaUon is made and I
<br /> comply with ihe State Confracto�s Law 1827 RCW and 296.200 WAC.
<br /> City of Everett Official Use Only
<br /> FEE
<br /> �l G-, U�.
<br /> ' PERMIT#
<br /> ���`✓ � r�---� � 1 " (j � ^'/I �) � ) /
<br /> � i , � \ (�(/\, �L'C/
<br /> � ;
<br /> �
<br /> �
<br />
|