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� G� �� � � -� _ -��C�� � 2�� - � � � � <br />� �� ���f 01 � � r���,� <br />��.�������� ��� ��r ��������r�o� <br />c�-rv o� �v���-r� ��r���� ���v���s <br />3200 CEDAR STREET, �VERETT, WA 98201 <br />4�25-257-8810 - FAX 425-257-8857 -- www.everettwa.org <br />APPLBCATIONS ARE ACC�PT�D �i20iVl � AEVd TO 4 PN9 <br />�� `� h���-�. � ��'F1L �k � V� � <br />PROJ�Ci ADDRESS <br />1^1A T� �� p -rl���.r� (a� �,�t�Ic�s-t5�-1 5�r �7,,�-�a `�t.r �A `1�i a0 <br />Owner Maii Aadress city State/Zip Phone <br />�J � c�� ��c. �� � <br />Tenant Mail Address City State/Zip Phone <br />__�"�'�+ r'c..,�� 5� ti�F�S , 2�-� �GZ'3 ��a��t w�+.,p s�.`�- <br />Electrleal Contractor Mai! Address City StatelZip Phone <br />����� �� <br />��'g-Cs�S -` i�� � �sp o� � <br />State License Number Contract Prlce of Work <br />�,.,�� ��-�J U �o� -��-� ��.3 <br />Proposed Use of Building �� �� Contact Porson (Plan I�eview) <br />��� <br />Squ re Footage (If residential new construction, remodef or addition) <br />Description o# Work to Be Done: _��5�►t�. C� 35i�A 2D�V �€�� -q i�- �'�� �2� <br />��� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E� <br />BE IN RACEWAYS, MC OR AC CABLE , <br />��•=�`�J , C7�\� <br />CITY OF EV�RETT LOCAL SAL�S TAX CODE IS 3105 <br />I hereby certrfy thai 1 havo rsad and examined thls application and know the same to be true and � <br />correct. A!I provlslons of laws and ordinancos governrny this fype of work wil! 6e completed �'� I��j�j -�� � <br />whether speci(red hereln or nof. The grantin� vf a permrt does nof presume fo g�ve authonty to �,, � <br />vrolete or canc�! the provisrons of any other siaEe o� /oca� law regulat�ng construcfron or t(�v �, <br />performen� of cons�ruction Thaf l am autho�ized by fhe owner of fhrs properPy to perform the <br />wo�k fo�h, icPY�pplicaflon i� made and I comply wifh the State Confractors Law 98.27 RCW and <br />l �d 1�ti8 'ON '�NI 'SW3ISAS �3MOd N33�J�3�� Wdl��� �IUZ �9 '�b'W <br />