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To: Page 2 of 2 2015-02-27 17:55:48 (GMT) <br />� � <br />� �. �� ` . �� � <br />'Lr6�� �� ���. ��� ��� �� �������� <br />320q G�DAE� �'TR��T, E�f�I��iT, Vl1l� 982l�1 <br />425-25�7-��1 C} � i�'P.X �25-257-8$57 - �vwuv.everEtiwa.org <br />�; �, . ,>.{ ,y_ � � ,; . .; -4 . < < ,� ; , < < Y �{... <br />. <br />�i .� ') t ; � � ., � .: , <br />� .� �_. l._, �t�c.�� : C . t� � � � iJ' _ ,.. � � � � -1_..rJ �w � �".� "-�-> v. %: ...1 <br />��i�J�C'� �T�C)t2�SS <br />QW�er Maii Address City 5ta#et�ip <br />Y <br />18888574196 From: David Wyatt <br />Phone <br />,� �.�---_._.,.r ..�._..� <br />Tenant Mail Address Ciry _ State/7_in .f?hon� <br />�� �o� <br />� .,� c� -�`-�-- �� P c � r i c ���c. � C� � a c� � ��-� - �;- �-v..�, � � � �-a l � s - 1 - � � 2 5 2- -�-��--- C <br />Ei�cteiCa Cc�ntr�ctor �iaif �ddress CiEy �#aielLip Phone <br />� � -���"��� �.r`J�•`_ ��.i �. <br />�k�te Lic���se �Eumb�r (requ�red) Gify c,€ �uerett F�usirtess Lic��ise Nurrdber (r�quirEd� <br />� d ; �'' <� �" �' �':; <br />Prapas�d Use of �3ui(ding Cantr'ac� Pdce of Work <br />5quar� �oafaga jEf resider��iai new canstructic�r�, rernaclti-�r add€tl��) �o.r�t�ct Perso��/Cofltact NurnberLEmai1 <br />Nurniaer ot devices (Ef low v�fta��) - <br />_.,.. � <br />_.. l <br />Description Af Wark to Be Dan�: _ ��� -� �- ��� � 1 �� c.� .� � �, ..� �, ,l_ C i ,..,C_ ��. ' } c' <br />FE� <br />�1TY cBF EVER�Ti LCDCAL SA�.ES T�?C �t3p� t5 3'li�a �� � u <br />f hereb y c�srti f y that 1 have read anc{ examined this a p pTlcatFan and know Phe sam� fa be irus and <br />corract. Ail provisions of laws and ordinae�ces gou�mfrrc� this fype of wo�'Et wii! bo compt�fed <br />•, wtlether specifred herein ar nat. The granting of a p�rra�it does r�ot �arvsum� io give authority io FERMrf # <br />vinlaie or cana�P the pravisions af any vther stsfe orloca! taY✓ r�gufafing constru�Pion or the <br />perlarmance of ce�nstructron. l'hai ! am authorized fiy t,�e awrrer ofthis praper�y ta perforrn the � I��� —� C{ � <br />work for whict� a�sp�lc�s mad� ar�d 1 cqrtrply wrfh the Stste Ggntractors Lsu+ 1�;27 RGW and � <br />296.20� VI/ACr,.,'/;,% � <br />_ ,r? .l;? , :�;-�, � ��--- <br />r� � _ <br />ae <br />� � <br />REVISED 08/U&/7.01�i <br />i <br />