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To: Page 4 of 4 <br />2014-12-04 16:03:37 (GMT) 18006480341 Frotr: Foy Group <br />�L��� ! ��V�� ���lY��� �r ����A�'�� <br />C1TY OF EVEREii P�R1V11T SEi�VICES <br />3200 CEDAR S7REET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8$57 — www.everettwa.org <br />6600 Merrill Creek Parkway, Everett WA. 98203 ,�r��j, /�� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Contra <br />��� � �j��..t`�to�� <br />State License Number <br />roposed Use of Building <br />Mall Address <br />Mail Address <br />K <br />,��� �����t ,�� <br />MaEI Address <br />'i� �,�: `-'���s <br />Square F otage (If residential new construction, remodel or addition) <br />�:� �� <br />Number of devices (If low voltago) <br />Description of Work to Be Done: <br />�d^ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />City <br />City <br />I� <br />City <br />Stafe/Zip <br />State/Zip <br />Stafe/Zip <br />f='==,' / l/� � �., <br />Contract Price of W oric <br />� -=� (a �1,rJ Cu�`-`f� U� <br />Contact Person (Plan Review) <br />�� <br />! hereby certify that ! have read and examined this applicafion and know fhe same to be true and <br />correcf. All provisions of laws a��d ordinances goveming fhis typo of work wiil be comptefed <br />whefher specifred herein or nof. The granfing of a perm�t does not presume fo give aufhority to <br />vio/afe or cancei the provisions of any other state orl�cai law regulating constr�rction or fhe <br />performance of construcFion, That 1 am authorized by the owner of li�is property fo perform the <br />work for which application is made and ! comply with the State Ca�fracfors Law 18.27 RCW and <br />296,200 V1�c4C. _ <br />RF.VIS£D 3/20/13 <br />Phone <br />Phone <br />Phone <br />FEE <br />PERMIT# <br />E1�I2--0z� <br />