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_ _ _ ,. :._ <br />;� . � � � ;� �. :�. �. �z �. ; z. ; <br />�; <br />CfTY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />%(p%i� D +�l�.j /`�v"GC <br />PROJECT ADDRESS <br />�-!����✓c-" ,� �r�T . �20/2 /p �` �}ric-- �.6'�' �ti� �'� �'�'l' l� � � fz�, <br />Ownel' Maii Address City State/Zip Phone <br />N <br />Tenan <br />���� <br />Elecfrical Contractor <br />Mail Address <br />Mail Address <br />State License Number (required) <br />�Cs�v�7r i� - sF <br />Proposed Use of Building <br />� ���'� /¢�os� _: <br />Square Footage (If residential new constructio , remodeflor addition) <br />NIA <br />Number of devices (If low voltage) <br />City <br />City <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />City of Everett Business License Number (required) <br />� ���j� ,� <br />Contract Price of Work <br />�S'rt��Do� (G�ZTz" 2of_o.�13f.�lo3( <br />Contact Person/Contact Number/Email <br />Descripfion of Work to Be Done: (/'�D/1� ffvm� �..w� �'� ,�nioB ��vBr � C'u���% ��� <br />S7'1�I�il��f�2t�S' G- l/Pt'�%� V�KTu/GL ,� r���-[i(� �'il�c �/��% ��� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 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 compfeted <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the provisions of any other stafe or Ioca1 !aw regulating construciion or the <br />performance of construction. That I am authorized by the owner of this properly to perform the <br />work for which appiication is made and ! comply with the Stafe Contractors Law 98,27 RCW and <br />296.200 WAC. <br />�I ' � . .� , �' / <br />REV(SED 08/06/2014 <br />FEE <br />��j0.°�i <br />PERMIT# <br />EVU1�511-��i <br />