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� <br />; . ._. : ;� . , ,� .� �. ,; , ,� 1� ,�, <br />-� �; <br />CITY UF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - �AX 425-257-8857 — www.evereftwa.org <br />:. -� ' • � ' � "i <br />. <br />PROJECT ADDRESS <br />�c� <br />Owner <br />Tenant <br />��ti��' �L` <br />� <br />Mail Address <br />Maii Address <br />City <br />City <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />� �3������ <br />C���� �k� � 1� ; � � � >,�� �t w � � <br />Elecfrical Contr'acto� Mail Address City State/Zip Phone <br />�'- ��s �� � ��� �i K�i <br />State License Num er (required <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />� 5t3 ��o�' <br />City of Everett Business License Number (required) <br />� ">��, ��� <br />Contract Price of Work <br />�rx �� ' � ��6� ) bo'� g' a�2�,�_ <br />Contact Person/Contact Number/Email <br />Descripfion of Work to Be Done: �l� 1�+���"` '� �-�>�C����� �^ry�-� ���� � <br />��lllnf, i •.I �Jn�% �� 1`/� ( e�'J�ll !� .IV �� _ �CJ12� ,v\ l '/ly�l1L.� � <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that ! have read and examined this application and know the same to be true and <br />correct. AU provisions of laws and ordinances governing this type of work wil! be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority fo <br />violafe or cancel fhe provisions of any other state or /oca/ law rsgulating construction or the <br />performance of construction. That 1 am authorized by the owner of this property to perform the <br />work for whi�� application is made and ! comply with the Siate Contractors Law 98.27 RCW and <br />296.200 �1�� C. <br />uate <br />REVISED 08/O6/2019 <br />FEE <br />� ��, � <br />PERMIT# <br />E I�I� IO-�`��1 <br />