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i <br />���� ! E�,���� ����V�IIC� '�������`�'��� <br />�o� �� ������� ������ �������� <br />3200 CEDRR STREET, EVERETT, W,4 98201 <br />425�257-8810 - FPJC 425-257-8857 — vv�nrv.everettvva.org <br />� �U% ��de G�/. -" 54if e- /�c� <br />PfiOJEGi �4DDRESS <br />�r+�u�u'�r..i��r�is� ,1 GG-C Gg`�U �rf�.eH.�(-✓y —3a� f� �SU, SP�r?Jl� 9� <br />Owner Mail Address City State/Zip � Phone <br />C�r�r�.►a �row0 - /Liifs�on �•�s �s � a � ove.) <br />Tenant Mail Address City State/Zip Phone <br />Mail Address <br />�� � � <br />State License Number (re ui��d) <br />�� <br />Propos d se of Building <br />Square Footage (If residential new construction, remodel or addition) <br />z,� <br />Number of devices (If low voltage) <br />Description of Work to Be Done: <br />� <br />�171' OF �!/���"�� �OC�L �A��S ��3t C�DE IS 31m5 <br />0 <br />City <br />Z <br />State/Zip <br />Phone <br />�Z��y� <br />City of Everett Business License Number (required) <br />.� ���-a _ <br />Contract Price of Work <br />� uGfi Q ,o^� � i . G <br />Contact Person/Contact Number Em �I <br />z�3 - �3� - s � <br />h��i G� u�l� <br />I hereby certify that I have read and examined this application and know the same to be true and <br />correct. .411 provisions of lauvs and ordinances governing this type of work will be complefed <br />evhether specified herein or not. The granting of a permit does not presume to give aufhority to <br />violate or cancel the provisions of any other state or local lavv regulating construction or the <br />performance of construction. That 1 am auPhorized by the owner of this property to perform the <br />work for which application is made and 1 comply with the State Contractors Law 18.27 RCIiV and <br />296.200 WAC. <br />REVISED 08/06/I014 <br />FEE <br />I�Uv <br />PERMIT# <br />� B i5�� — c� I � <br />