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_ "�� ��-� e � ,. ¢ °'�� �'�'� i " ""�" �. � 2'�� � � ''� � � �`�t �s & <br />• <br />Clil( OF EVERETi PERMIi SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />� �� �{ <br />� � � VU� I �►'1c✓� `��- <br />PROJECT ADDRESS <br />� �i� �r�lU <br />Owne <br />Tenant <br />Mail Address <br />Mail Address <br />��1'!L ����,�YIC. f (zl ���5���� C�rn? <br />Electrical Contractor Mail Address <br />�� C�=-L -� � o �� j C <br />State License Number (required) <br />���i C��t�l �i�—J <br />Proposed Use of Building <br />� `�G� <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work to Be Done: �� «l� cl� / c <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />City <br />C ity <br />City <br />StatelZip <br />State/Zip <br />lr��� %�� <br />State/Zip <br />�hone <br />Phone <br />�a --),5�7-Gi <br />Phone <br />City of Everett Business License Number (required) <br />.� C�� <br />Contract Price of Work <br />� <br />'Y �'4 ��,r r� ��✓��i n ��'c -7 �)l ->/ G'� <br />Contact Person/Contact Number/Email <br />� <br />I 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 wrll be completed <br />whether specified herein or not. The granting of a permit does not presume to give authorify to <br />violate or cancel the provisions of any other sfate or local law regulating construction or fhe <br />performance of construction. That ! am authorized by the owner of this property to perform the <br />work for whic pplication is made and l comply with the State Confractors Law 18.27 RCW and <br />296.200 W 'C. � <br />. ; � �" G-Z`/-%� <br />Sianature <br />REVISED 08/O6/2014 <br />FEE <br />� �� � C%G� <br />PERMIT# <br />E ��' 1�`���G� - ��C� � <br />