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.�-a , .... ��, .�.� .�� , � ,. � .�. � <br />f - ?"`� �. � .� r�-- r-� «1 :. �i . f... ,":. u, y,ba.yg .. .�c F F"•� °S s <br />CIT'l� OF EVERETT PERIVIIT SER\/ICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />�Z 32 �� I� !� i v�-e � . <br />PROJECT ADDRESS <br />Tenant <br />W �� �.s 6 z�z t3���s <br />Mail Address <br />Mail Address <br />City <br />C ity <br />w�} qf�Za3 <br />State/Zip Phone <br />State/�ip Phone <br />QtZcwr� L-1e����c�� 313U WAUcc� Q� �,,1� ��; i.vr� 9(f3Z� �253� `lUS-Z43s <br />Electrical Contractor Mail Address City State/Zip Phone <br />State License Number (required) <br />S�=R <br />Proposed Use of Building <br />I L �� �fz <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />�51 �l ��. <br />City of Everett Business License Number (required) <br />��"s��3 z3 <br />Contract Price of Work <br />i'l+vTtiai`.�{ �lZc".�.�1(253�Y�:-2N3Sl�.ti,'7/���1 F 1w'r�z��;�s•[a6N <br />Contact Person/ ontact Numbe /Email <br />DescriptionofWorktoBeDone: ���� �Z e;fcu�}s -�• �x����nq S�rv�c� �n urc�P� }o rrQlo�e <br />I; ,.,...� E r„�r <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that ! have read and examined this application and know the same to be true and <br />correct. All provisions of laws and ordinances goveming this type of work will be completed <br />whether specified herein 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 fhe <br />performance of consfruction. That 1 am authorized by the owner of this property to perform the <br />work for which application is made and l comply with the State Contractors Law 18.27 RCW and <br />296.200 WAC. <br />re <br />REVISED 08/06/2014 <br />% ZZ �5 <br />Date <br />FEE <br />� Cl �.� �D� <br />PERMIT# <br />E I SC��I - I�{'l <br />