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,_: . <br />�_m 4 �, �:� ��,_ a�--�? � f� p�; � Fjy � � ��� fi �� � � ���r. y�� i��� � � k`� /�` � F �•5 � � <br />CI1"Y �F Ei/EREiT PERMIi SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />I � � `� I/t/0�► � ��i� U�,� /-�lJ � �� <br />PROJECT ADDRESS <br />�R1;`�l K�-��V �'Y <br />Owner Mail Address City State/Zip Phone <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />����� fs.�-T"f�'�L ���lL C�� � 33 `'�� �-r S-c" � v-� � fJ�x/�'� �� `�`� vi �'� <br />Electrical ContraCtol' Mail Address City State/Zip Phone <br />S. J 1`s'� !'�fl �� I C)(�� ��- <br />State License Number (required) <br />s�f� <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 of Everett Business License Number (required) <br />Contract Price of Work <br />(-�� `� �5 3�� � 5�� � ; <br />Contact Person/Contact Number/Email <br />Description of Work to Be Done: t�r G�� vly �����`�O ��'����``'ti�� w� � r� <br />��'� 1� ���5 � F-C, dU�S'1�� � 1� �v ��TT �-}UJ �l �.kf <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances governing this type of work wiJl 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. That 1 am authorized by the owner of this properfy fo perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. . <br />ure <br />REVISED 08/06/2014 <br />2 , '?�c�l � <br />FEE <br />`I� �U�bi <br />PERMIT# <br />E I� � t -� ��1 <br />