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� <br />G�Glr 1 ���.o�� �G�11�1�� ������d`1���IV <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 />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�� �� �- �� � ��e�,�� �- <br />PROJECT ADDRESS <br />� �� � �� <br />Owner <br />Tenant <br />� f �_ �._ <br />Mail Address <br />Mail Address <br />City <br />City <br />N ' <br />' �� �� <br />� <br />State/Zip <br />Stafe/Zip <br />Phone <br />Phone <br />l.. LLV rt,�tio �� ���-C �'V �t� �J1 G 7 i2�L� ✓ �V� ✓�-,+�'" w � �Gi.���'� ��� �'Jv:���;� � <br />EleCtfiCal Contractor Mail Address City State/Zip Phone <br />C �tivrG � �%.T � �� <br />State License Number <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />�/�c� <br />Contract Price of Work <br />Contact Person (Pian Review) <br />Description of Work to Be Done: ��1/�% ��i/C� v1 ��— � t�� %t"�/✓ � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! hereby certify that I have read and examined tiris application and know the same to be irue and <br />correct. All provisions of laws and ordinances governin� this type of work will be complefed <br />whefher spec�fied herein or noi. The qranting of a permrt does not presume to give authoniy fo <br />violate orcancel the provisions of any otherstate orlocal law regulating construction orthe <br />performance of constnaction. That I am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Confracfors Law 18.27 RCW and <br />296.206 W.�C. n <br />, %�`�`v' �'��, <br />v" . <br />� <br />�� �,�,�C;i/ <br />J <br />