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� <br />� <br />, , . . .� -_ �., , .. .wn <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 />l.}S�� �� � � � v e�-�t� �N-�. <br />PROJECT ADDRESS <br />��. <br />Owner <br />Tenant <br />Electrical C <br />� � S <br />Mail Address <br />Mai� Address <br />Mail A <br />'� E �i,•�S D��` 4 �f'� KC� <br />State License Number <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />� <br />City <br />City <br />StatelZip <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />y� ZC� 3 <br />K ZS ���J�� <br />� r� OZ� '.— <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: ��`T� "-�—c..� � � l 1^�, U�� � Nd �%' ISGC��V X...�-�� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! hereby certify that I have read and examined this application and know the same fo be true and <br />correct. All provisions of laws and ordinances governing this fype of work will be completed <br />whether specified he�ein ornot. The granfing of a permit does not presume to give authority to <br />violate or cancel the provisions of any other state orlocal law regulaiing construction or the <br />performance of constructron. Tl�at I am aufhonzed by the owner of thrs properfy io perform the <br />work for which application is made and 1 comply with the State Contracfors Law 18.27 RCW and <br />296.200 WAC. <br />nature <br />Date <br />FEE <br />��-�� <br />PERMIT# <br />E ���� -0�� <br />