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CJ <br />� <br />�J <br />� . � ; � � � �, :�, , - . _., � � ; <br />. � . <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 />I�I ► �JGI��--�- ���- <br />PROJECT ADDRESS <br />ho��s �����-�s u-�- �a�o �5� s-� s� �a�� ����w��, �,� ����6 <br />Owner <br />'_ � <br />Tenant <br />� t�D <br />Electrical Contractor <br />; �� <br />State License Number <br />��" � <br />Proposed Use of Building <br />Mail Address <br />Mail Address <br />Mail Address <br />�Z�— �5� (�'� <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />City <br />City <br />City <br />State/Zip <br />State/Zip <br />State/Zip <br />:/�,� � �' (�' <br />Contract Price of Work <br />- � �� l <br />�_�G,`.<'r ) C� � <br />Contact Person (Plan Review) <br />a� �.�- a�I <br />Phone <br />Phone <br />Phone <br />Description of Work to Be Done: k�'..�,�� i(�, ��"�,;���� rC�Y�� ��GV� �( 1�� ��1,��1� <br />�. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that l have read and examined this application and know the same fo be true and <br />cor�ect. All provisions of laws and ordinances governing this type of work will be completed <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 state or /ocal !aw regulating construction or ihe <br />performance of construction. Thaf I am auihorized by fhe owner of this property to perform the <br />work for which application is ma�le and I comply with the State Contractors Law 18.27 RCW and <br />296.200X�/ 1 C, i % ) <br />FEE <br />�� �� <br />PERMIT# <br />E VU I �D(�'a� J <br />