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fry y � . :r . <br /> LLCTR CAL PERMIT � PPL. CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857— L4/to u.).e i<ewe...'3-'W ..jd v <br /> e(tn e.i ('. .e t/i r4 4.e 0 & ft tmireeM 61Atti o V <br /> 01 . . <br /> PROJECT ADDRESS <br /> Owner __ <br /> Mall Address City State/Zip Phone <br /> Gitt41 Nl)U l 6'V /4 e `$. <br /> Tenant Mall Address City <br /> State/Zip Phone <br /> IM.bt)lk( O.. €141) ►G 126 130 X Li PI Int Ai-L .:AD , 41003 (H 2-~) 62Z-zo i Z <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> l�l`..cbv%L E . .30$ 111 OdL (:1 I <br /> State License Number(required) City of Everett Business License Number(required) <br /> • PfJr is 4. 0D b. ° - <br /> Proposed Use of Building Contract Price of Work <br /> J 'a &tag,MINI Ily 6'-m01)4464ct NWldNt i(or% <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> •.....,.....----- <br /> Number of devio®s(I ow voltage) <br /> Description of Work to Be Done: Ct3Stln,tsll(../(?NIL ;(,'' 5•Ail1N( Ite-ei,e4cey 6 11- c,1=. t.t607--c: ) <br /> - .& rev-4 ) InNJGe• jvtiDS / 1 c( 1e e-t, r rs <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 46, 1 L-P-- <br /> /hereby certify that/have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing this type of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the ; <br /> performance of construction. That/am authorized by the owner of this property to perform the I comply with the State ContractorsE 1t -,/ I t i Oil <br /> work for which application Is made and Law 18.27 RCW and l <br /> 296.200 WAC. <br /> t.r?A„14.414 <br /> /// <br /> 1 <br /> Signature �� J DateREV/SEe 08/06/2014 31. .— 7v e l-t A <br />