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,__._ <br /> � ��__. . ,,:,�� J <br /> �'-�/ ' �� _�c� ll ��������l�f�� G���G1G�v�i�`�� �`��J!,-,�j<<L;��IiJ��C�(i`� <br /> ��i��J --- <br /> � <br /> �;"�-,' ��'�+ , tr���' C�9 Y OF �V���I i ���Mi I�C�VECCS <br /> — 32G0 C�DA� 5 I��.�`I, �VE�'C I 9, U1IA 9820�i � <br /> (P) �!2�-257-8830 I �=A:;�25-257-8857 I (E) everei�eps@evere2`(vua.gov I www.everei�wa.gov/permiis <br /> I G��'�J���� ���� �C.7G���E�33aTi'�OO G`.7:: . <br /> �����c��a����ss: 31 n A�ziv�' � —a--- <br /> BU9�.DING AREA(if residential, new construction, remodel,or addition) �� <br /> BUILDIIIIG Ti YPE: FR-DEfACHED ❑SFR-ATrACHED � DUPLEX ❑ MULTI-FAMILY-#OF UNITS: ❑COMMERCIAL <br /> USE O��UILDi�! : ��` ��� ��'L <br /> �B�EC'�'�I�A�,������A���E� �E����iV➢�A����: , <br /> COi1l��ACT E�E�9C���VI/Ot1{'c:$ \ _ <br /> NUtViB�R����VIC�S (if low voltage): � W4b --- �—� <br /> FIRE ALARiViI? ❑1(CS ❑ GVO ,—. �� _. <br /> QSS�GIA�"ED�lJf&��IfVG E��F�l1���#(if applicable): — � <br /> �����i��s�n� ��Uv��fc: l,�ti11.�,(.� Wl TC�t"I� ([:i�I��C,� �-D�M <br /> � �-�c. �,� I'" Dt..�, - o ot•�,-r�►�� t-'��- � <br /> W� G-� � Cv�� �. <br /> -- --- _ � <br /> — - _- <br /> - __ � _z <br /> _ . . <br /> ������ � ����������� �-� <br /> _ . . � <br /> - ---- - --- <br /> OWNEt�N.�ME: �����`' ��'�-�� i�����A`�p,��(If Coenmereiatl}: <br /> own����n�i�i�v��.d���ss: S,�E���_1 [� �t-�.4���-- !� <br /> 1 �. _._�_k _ _�_`2 � <br /> C� _ .. _ STATE ��"' ZIP� �Sl�J � <br /> �/�,� { <br /> jC3VIf�dCt�f"t-��h9L: � v—I�U'����___:�Vl/N�f�L=Mla6� �-� ' iV!1'� ��y'�-t-l��'v' !I <br /> �or��R�.c s a�R rv�acd��:��_�•G� �-D'N�' �l' ! L �.:�._ _ 'I <br /> ,�---- - i <br /> - -- �- ..� �� <br /> eof��'I3�1�ioE3lAY��E��ss: srReEr���jt 3�� SC- I' <br /> --_ — �.�.,— �...— <br /> _. _ _ _.�--- <br /> � _�_ ...� � ...._.___ -- _ --v`�'-_--- �s�a� <br /> .. -- - C� � � STATE ZIP <br /> � <br /> Co������oR�����: a5-3 ����a�-������r�: s--n,u,c�j <br /> COPJfRACTOR LIC.#(REQUIRED). ��Qa`L„ �b�t(��F�/�R�'r-���E ri����E�,ft�REQUIRED) �� <br /> _ ,. _ _ <br /> �f�R6PVtRR1'f;O�IT�,�e: ❑OWnER NTRAC I OR !�OTHER(Please Sp2cify) <br /> ��r�s�c�ra�n��; c�raa�����aQ�v�: 5_3a..'1— Q} � <br /> ��4' � 1 t'7r 1 N ��V�� Cf9td'fACi'�MAIL: �' <br /> S M-• C C�1 <br /> AGREEMENT.-T here6y cerfify that I have read and examined this appfication and know fhe same to be true and cor�ect. All provisions of laws and o�dinances goveming ihis <br /> type of work will be completed whether specified herein or not. The granting of a permif does not p�esume to give auihorify to violate or cance!the provisions of any other sfate or <br /> local law regulating consfruction or the performance of construction. That(am authorized by the owner of this prope�fy fo perform the worlr for which applicaGon is made and I <br /> comply with the State Contractors Law i827 RCW and 296.200 WAC. <br /> City of Evereit O�cia!Use Only <br /> FEE <br /> �����b <br /> PERMIT# <br /> � � �b 6l' � �� <br />