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• <br />. . . , �. �. . _ . ., _ , ., _,: t <br />� . - � � �: : � �. � , � <br />�F <br />CITY OF EVERETT PERiVili SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />2 70�. -�}o� ����lv� <br />PROJECT ADDRESS �2� <br />,�ST <br />���� � �!� r �r�,a� s�L� �v���' A ��,2�� ��7 <br />Owner Mail Address City State/Zip Phone <br />�l� ��1 ��'d2 �.T �V��1��� � ���1 <br />Tenant Mai� Address City State/Zip Phone <br />:.rL 1`1 C�t' �V�-�.= 4�, ` j_"�CJ�(__ L � L�� <br />Electrical Contractor Mail Address <br />J� M��z�.L�-. <br />.�o� �t -�'�{ l�s <br />State License Number <br />�xc���l� MA�u �--i.�� <br />Rfe{aase�Use of Building ^ <br />�-� S�= �iVb�(�,. <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (If low voltage) <br />State/Zip <br />�, �� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Description of Work to Be Done: �1/���� ��-�,� '" ����7 ��. <br />�� ��� �xlsTl�� Wo��- �-� -� � �-=- � ���`� �r- <br />� �r l �� �-��M <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1 <br />� �� ��� <br />I hereby certify fhat l have read and examined this application and know the same fo be true and <br />correct. All provisions oflaws and ordinances governing fhis type of work will be completed <br />whetherspecified herein ornot. The granting of a permit does not presume to give authority to PERMIT# <br />violate or cancel the provisions of any other state or loca! law regulating construction or the <br />performance of construction. That I am aufhonzed by the owner of this property to perform the E) f-� (i'�~j �'^ �� �� <br />work for which applicafion is made and 1 comply with the State Contractors Law 18.27 RCW and � �� <br />296.200 WAC. <br />