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� <br />. ,, <br />,,. . . ,,, .., � , <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` � /n <br />� <<� �� �� vJ��-E-1%L��-� �r�� V� <br />PROJECT ADDRESS <br />) �( <br />�C7 � t t;��. C'�.� j,�' �°,� 1/' �j �` C_�-'�" � Z 2�� � 7�C7' �� <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />�_ <br />rical Contractor <br />Mail Address <br />( � �732 t <br />Mail Address <br />�rn��t �=Ci.� ;'�-� Qa--� <br />State License Number <br />r <br />�t.L�! , t i il.A,��.�i—� � i � � <br />Proposed Use of Building <br />City <br />State/Zip <br />Phone <br />�; � �i. C..e�2 ����t�f/� � C -cX� : � � �' � � <br />� � � � ��� ��� <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />City State/Zip Phone <br />�" E,�>> ? 2 Z_ ��7 �C <br />� .� � � -ys <br />,��, <br />� ,_ <br />Contract Price of Work <br />Contact Person (Plan Review) <br />�J /; <br />Description of Work to Be Done: �,._e..��v` 1%�- �� n��-� 't � L� 5 C^�`- `� ` l� S �`-" t"�."!'� <br />�.-A ae :i � a_ �, • <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that l have read and examined this application and know the same to be true and <br />cor�ect. All provisions of laws and ordinances governing fhis fype of work will be completed <br />whether specified herein or not. The granfing of a permit does not presume fo give authority to <br />violate or cancel the provisions of any other state o� local law regulating construction or ihe <br />performance of construction. That I am auihorized by the owner of this property to perform the <br />work for which application is made and 1 comply with ihe Stafe Contractors Law 18,27 RCW and <br />296.200 W�E--� i7 <br />FEE <br />�O�JU <br />PERMIT# <br />Ei� 0� - I� ( <br />