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To: E Page 1 of 2 2016-02-23 14:53:44 (GMT) 18884000383 Froir: Deborah Shields <br />� � 1 � � � ! � �� I �� <br />i.r� 1 i�� � V���� ����1� a7�P6iP ���;7 <br />3200 C�DAR STREE7, EVEI�ETT, WA �8�Ci1 <br />4�5-257-8810 - FAX 42�-257-8857 — v�,rvwv.everettwa.org <br />,i � <br />��zo.��cz ��r���ss <br />TACtJS G U�YiVIAS 1814� 112th ST S E E\IE R ET� ��2 {�t� �7s-�38-��,�a <br />�wncr DAail Addrass Gity �tatr„/Zip Phone <br />TA� JS G UAYMAS 1814 �� 2th �T S E EV�R ETT �l�/A 98208 ¢25-�3�_»Q� <br />Tenant <br />� � , <br />Maii Rddress City State/Zip <br />i1824 NORTNCREEK PKWY N #105 ���� � ��' �A �g�'� '� <br />Efectrical t:,ontractor t�aii �ddress <br />ADTL�.�*88i Ci� <br />State �ic�nse Number (required) <br />�t�i71t'tl�iCtd� <br />Propose:� Use of Buildiny <br />Cif y <br />utet�lZip <br />�'hone <br />2Ci6-7 74-9459 <br />P�one <br />�5�95� <br />City �f Ev�rett F.3�asiness License Nun�ber {require,d) <br />15D <br />Gontrac; Price af }Norl: <br />JENNIi'E`r; l�OVCLLO'�a6-�'74-549J JFNf�lIFEf2�5iNV1,�PEF�NiT.CUIJi <br />Sq�iare f=ootage (If residc;niial new c;nn4truction, remodei or addicion) Contact F'ersoniContact NumberlEn��ii <br />1 CantraU 3 devices <br />Number oT dev+ces (if lo�v voltage) <br />[Jesct€ption ofi Work to Be Qone: ��� ���� "'"" `" � ���� ����� � <br />CITY O� EVERETT L�CAL SALE� TAX CC3i7E IS 31D5 <br />i hereby certify that I have read and examined this application �nd know fhe same to be true and <br />correct. A/( provisions oflaws and ordinances governing fhrs type of work wlil be completed <br />whether specified herein or not. The granfin� of a permrt does nct presume to give authority to <br />violate� or cancel the provisions of any other state or local law regialating construcfion or the <br />performanr,e of construction. 7�hat l am autharized by the owner of this property to perforrrt the <br />work for which application is made and i comply with the State Contractors L��v I8.27 RCW and <br />296.200 WAC. <br />��Ly II �necG 'c I <br />Jeni�ifer Cavello ;�� ' a°;;e ,.� w��',� �;r �: <br />cdi�=. zo �o.ea,oe i. i� �, ;o =�; �o�� <br />��� vis�� ot�;oerro; o <br />� <br />�2/221201 C <br />Date <br />F�E <br />��� �� i,'v.� <br />� <br />PCRMI7# <br />E���l�����1� <br />