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�. .": r-: r i+ L � � -, " '�,ps � � � � p ,,>"� : �'N"` Po p "`@ 3. F <br />r...�. j ��_ .�s... � ? r{` , • . <br />. �. . <br />CITY OF EVERETi PERMIT' �ERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />r � �.� � � ��,° �T n�� ►� ►.�. � �� �, �, <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />City <br />State/Zip <br />Phone <br />L'�v �'�t'�� 1.�: i 1... �,� �� 1� rc C. <br />Tenant Mail Address City State/Zip Phone <br />P��m,�:� J <br />Electrical Cont <br />�crT �: � <br />Mail Address <br />���r s;� ���� � s�� ���.������. u�� y��� <br />p��,��� �-����.� ►z��3I�� <br />State License Number (required) <br />� c:STUI;�z.�/c,l' <br />Proposed Use of Building <br />SC�C�C> <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work to Be Done: �!Z'���'�– �� ���`'� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />C ity <br />State/Zip <br />Phone <br />�->s3�� <br />City of Everett Business License Number (required) <br />i�� cann <br />Contract Price of Work <br />(v/l`��G �a/�r'�i s�.� �il —�';�GY <br />Contact Person/Contact Number/Email <br />ty,� fl'CiG)f�> i/f O t�l� <br />I hereby certify that I have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances goveming 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 />violaie or cancel the provisions of any other siate or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which ap ' ' made and I comply with the State Contractors Law 18.27 RCW and <br />296. 20D-b4�AC. <br />7- 7-�..� <br />REVISED 08/06/201 <br />FEE <br />� 2`�(� �°�� <br />PERMIT# <br />E � � o�� � �� 1 <br />