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� � r— � 'W' I� ( %�'' t�, f i'�i � __ �i +� � �' ��, � ,�j � � � �„ � � ti� �. � <br />_ � � -� , �.., �-- � <br />�,� r t �� 6. _ e 1 t <br />�I`�� �F EVERE`�� P��MI°�' ���`/0��� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />�% S � (,.J � �<�r.� C<<;,✓.-� �✓ c <br />PROJECT ADDRE�S <br />-� � , � % <br />���✓ � C�.� �'e �'� � l'� �1 �.� J,�-�����u�+� �<ti�✓�� ���' TC;� ra'%r o 5� ZOJ <br />Owner Mail Address City State/Zip Phone <br />Tenant Mail Address City State/Zip Phone <br />�S C i ,L, 4 ) <br />r� <br />�`� � ,S'� Ce L J`.� � C' v � ��' �• � � L �7 � S��- ��'� �•�rt��L%SY�'�-L t �✓�` %�� Z� % �� :5������> <br />Electrical Contractor Mail Address City State/Zip Phone <br />l =� �z->i ( c' ( `� �; t /� � <br />State License Number (required) <br />�–�—Iv <br />Proposed Use of Buiiding <br />Square Footage (lf residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />�-� � J Z <br />City of Everett Business License Number (required) <br />�� <br />/ � �' ._ <br />Contract Price of Work <br />�- . . - � �'.- � % � c , <br />�' "� ,"T / �- � ' J � / / <br />Contact Person/Contact Number/Email <br />Description of Work to Be Done: �+b� i� �-� �'c�'� ���"�'��� � <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify thaf ! have read and examined this application and know the same to be frue and <br />correct. AlI provisions of laws and ordinances governing 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 />violate or cancel the provisions of any other state or local law regulating construction or the <br />performance of construction. Thaf ! am aufhorized by the owner of this properfy to perform the <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. ___ <br />ature <br />REVISED 08/06/2014 <br />FEE �� <br />,� �b , -� <br />PERMIT# <br />E �'� b� � D �� <br />