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• <br />a � � .,,_ x� .�. � - , - � . .. _ <br />���. ,�_ � r�. .�; � ,� ��, .�� E � <br />; , . : ; :, � 's _; , , :.. <br />��� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />y �--C� �7.� �� �� '�S� <br />PROJECT ADDRESS <br />�� �� ��-���7�� � �"'`� �J �/�y � 75 fh � 5 � l�v e �'� `�-� 1 �-�1-�- , ��,�� �>3 yZ S � `i3.j _� <br />Ownef Mail Address City State/Zip Phone <br />Tenant <br />Mail Address <br />City <br />State/Zip <br />Phone <br />�«�1 ��-ry ��ec"�c� L f'r33 ��" �'1,�1 i f'�/�u n�s�� ,�� WA ��t�s� 7�' �1 Z��-��z> �� <br />EleCtrlCal ContraCtor Mail Address City State/Zip Phone <br />CC j�LUv �'�Z �L �s�z �� <br />State License Number (required) <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />C� �� -� `� � �1 <br />City of Everett Business License Number (required) <br />�>Cil� , v (J _ <br />�� <br />Contract Price of Worl< <br />Y-� t� � � � `1 �Z � - �I Z � �: ���/ �.c � ...-� � ✓� <br />Contact Pe son/Contact Number/E il ����,�- .� , N <br />Description of Work to Be Done: �� �� "�'I/�b ��.SC�%n �l� �+ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that l have read and examined this application and know the same fo be true and <br />correct. All p�ovisions of laws and ordinances goveming this type of work will be complefed <br />whefher specified he�ein 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 1 am authonzed by ihe owner of this property to perform the <br />work for which application is made and 1 comply with the Sfafe Confractors Law 98.27 RCW and <br />296.200 WAC. <br />� <br />FEE <br />���v <br />PERMIT# <br />E 1 ���� -�ZU <br />