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f--- r sy-,. ^'r— f� € r"�`` � [ � e-- � n 7 -�'.a � f'� ��„ ' ! '`q ,: � ` I'`�'t I ; �. <br />� � <br />- . � � t. �' ' i - <br />�- � �5 <br />i � I <br />i <br />_ ,. . . --� . '�-� ' r , ' ' <br />� <br />:>vR - � � , , , . .. : . <br />l�. - <br />CI�Y OF EVE�ET'i PERIVII`T ��RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />� 1 �� i�r � <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />�Lt� 1'1� ✓ <br />Electrical Contractor <br />State License Number (required) <br />Proposed Use of Building <br />� <br />Mail Address <br />Mail Address <br />Mail Address <br />�'�.-► �h <br />City <br />City <br />City <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work to Be Done: <br />�zo�:� <br />, �'� � �? ��(�; � �� <br />State/Zip <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />Phone <br />City of Everett Business License Number (required) <br />Contract Price of Work <br />Contact Person/Contact Number/Email <br />� ( / /'� <br />-� 411 ! i�C�l '�-` r �, �-C..1r.�o-. S — f f,,r.,L -1 �-- �s�A�.. l � T(�"r� .r- — C", .i.fz c) � <br />�A-`� ✓-►,•� -t �i ��`' �' � � CC3 � C��-'� '� V►�-� �� �Cv C' ,'�SZ <br />� Y���{: G � l�t <br />FEE <br />CITY OF EVERETT LOCAL �ALES TAX CODE IS 3105 <br />l hereby certify thaf I have read and examined this application and know the same to be true and <br />correct. Al1 provisions oflaws and ordinances goveming this fype of work will be completed <br />whether specified herein or not. The granting of a permit does nof presume to give authority fo <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. That I am authorized by the owner of this properfy to perform the <br />work for which applica�pn is made and I cqmply with the State Contracfors Law 18.27 RCW and <br />296.200 WAC. i � � ' <br />u re <br />REVfSED 08/06/2014 <br />��1���� <br />PERMIT# <br />E `� I'� �' ��2 <br />