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1AN/29/Z016/FRI 01:49 PM FPI Seattle FAX Nn,4252909600 P,001/001 <br />_ � � ! • �i <br />�LECT��CAL PER��T <br />CiT'V O� �\/�RETT PER�1111 <br />3200 C�C3AR STR��T, EV�R�T <br />425-257-&810 - �'AX 425-257-8857 — <br />� <br />PROJ�CT ADDRESS <br />Owner <br />Tenant <br />crrical <br />�/Ia�i Address <br />�1��� 1� C� i <br />State i.ECense Rlumb�r (required) <br />,� <br />� � �Q�.,,, _ �['�(� � � � <br />Propo�f Buildin TT <br />�� <br />Square Footage (If re&ldetltial new cpnstn.iction, rerrladp� or addlt€Orl) <br />�� <br />Number ot aeviceb (If low voi3age) <br />Descrfptiotl of Work to Be Done: <br />..,, . <br />Cipi <br />� <br />Cfty <br />) <br />Clty <br />►PPLtCAT'�O�V <br />SE1�liI��S i <br />WA 98209 �� <br />�rw.everettwa.org ' <br />i <br />, <br />� <br />State�Lsp ; <br />�. � C � �a�-e-� I <br />StalelZ7p � <br />� <br />, <br />a <br />St�te2ip <br />� <br />Q / � <br />; <br />of �vEreft Busine 5 Li <br />� „� <br />ract Pric� of Work I <br />� <br />CITY OF �VEi�ET7 �OCAL SALE$ �AT( CODE I$ 39U5 <br />! he�by cert�lj• tRet I have reAd and examined this appilcation and knaw tho same � be Uue and <br />Corr�ct Afi proVislons aflaw3 And ordinal7Ce8 goveming lhis typa pJ Wp� w�// pg �mpleted <br />+�vhetfler specifiad henefn or aot. The grentir�g of a permit does not presurrte to give�a�fhori(y to <br />vivlate orcanc9/ fhe provls/ons ofany otherstate or/ocal lew�gvl�tin� constrt�Ction arthe <br />perto»»ance of constYucfion. That I am autboYized by #he owner of fhls property tp `perform fhe <br />worlc for which appllcaflon is made and I comply wlth ihe, Sfate Confraptora Lasv i8,27 RC�I/ apd <br />296.200 WAC. � <br />REVfSED 0&VB2o�a <br />- �(,- !�-��l U <br />Phone <br />,_ �_�—�� <br />phone <br />�l—Z�' Z�(O -- <br />�� �l loUC� <br />Phona <br />Number (requirad) <br />FEE <br />�' 1��1,�-° <br />P�RMIT# <br />E ll�OI�L�� <br />j <br />