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� <br />, . , ._ � ; .,.., � : :� . w .._, . .. � .�. � � � � <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 />72� �` 1.� s � �'� -c��_ <br />PROJECT ADDRESS <br />�j,r��-� <br />Ownef Mail Address <br />Tenant <br />Mail Address <br />City <br />City <br />State/Zip <br />State/Zip <br />Phone <br />Phone <br />gi:�.t� s�' �G�P�. P��,3-�t3�,y3zl� 1�i6�d+ �;; �;..� �:�iw��;wo���t,�'�t `��a�- `�'�-��-�i�8 <br />Electrical Contractor Mail Address City State/Zip Phone <br />��►�.� `1 Z`�f ;�� <br />Staie License Number <br />e ��G' �CL <br />Proposed Use of Building <br />� « <br />Square Footage (If residen ial new construction, remodel or addition) <br />Number of devices (If low voltage) <br />� � � ��'�� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: �: ;—��ix� L�{ �s ; 5���'� 1�i� � �r4{� S i'v�U�� �-1�.� <br />�! <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 to be true and <br />correct. All provisions of laws and ordinances governinq this type of work will be completed <br />whether specified herein or not. The granting of a permit does nof presume fo give authority to <br />violate or cancel the provisions of any other stafe or loca/ law regulating construction or the <br />performance of construction. That I am auihonzed by fhe owner of this properfy to perform the <br />work for which application is made and 1 comply with fhe State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />S� <br />FEE <br />� �;� <br />� � .� <br />PERMIT# <br />E���S-II� <br />