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� <br />��G��I�'��� ��f�1Y1� 1 ������F1���� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />/ �% �%� /�l�-D�s.��,� S� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />����� P� ��x /z �� i <br />Mail Address <br />Mail Address <br />City <br />City <br />!�'/� ��� �� <br />State/Zip Phone <br />�2s-3,� s-��y <br />State/Zip Phone <br />��I�I��L <br />ElectriCal Contractor Mail Address City State/Zip Phone <br />State License Number (required) <br />S I" � <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />City of Euerett Business License Number (required) <br />Contract Price of Work <br />Contact Person/Contact Number/Email <br />Description of Work to Be Done: J J(% I/ ��a��/ 7 �j� �� �MP � � I N'�� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that l have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances goveming fhis type of work will be completed <br />whefher specified herein or nof. The granting of a permit does nof presume to give authority to <br />violate or cancel the provisions of any other siafe or local law regulating consfruction or the <br />performance of construction. That I am authorized by the owner of this property fo perform the <br />work for which application is made and 1 comply with the State Contractors Law 98.27 RCW and <br />296.200 WA.� <br />�J S <br />FEE <br />� � �� <br />PERMIT# <br />E � � d �¢-- � � �. <br />