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� <br />� <br />EL�CTF�tCA�. PERMIT /�PPL�CATION <br />CITY OF EVERETT PERMIT SERVIC�S <br />3�00 CEDAR STREET, EVERETT, WA 98201 <br />42�257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPl.ICATEONS AR� ACCEPTED FROM 8 AM TO 4 PM <br />���� ��� � � � � �� <br />p�a�c�r AunR�s� <br />Owner <br />Mail Attd�as <br />Ciry <br />8tate/Zip Phone <br />TQnant Mei! Acfrdresa Ctty StatarTp Pho <br />( ��0"5 <br />C�c��v�� ��or;s� �?�- �ox �q32 rY���s�l(� l,� � ���7o tis3�y3. <br />EfeGttiCel Corttrachor Ntafl Address <br />�� l� V��� � ( 1 C � <br />State Llcenae Numhar <br />Proposed USe of guflding <br />5quare Footage (If residantlal nsw construction, remodel or additIon) <br />Description of Work to Be Done: -�-}c� <br />Gty <br />�c�����s <br />BtafeJZip Phone <br />� � ��_Ol� <br />Contrsct �rice of WOrk <br />y zs �� �3�3� <br />Confa�t Perspn (PIaR Review) ~ <br />L� �J � <br />NOTE; W1RiNG 1N NON—DW�L'I,iNGS IS REQUER�p TO FEE <br />BE SN RACEWAYS, MC OR AC CABLE . ���` c�� <br />� <br />CiTlr O� EVEliETT l.00AL SAL�S TAX COC� iS 3105 <br />I hereb ce�ty fh�t / have r��d �nc1 ext�mined fhis �pplica�ion and know the seme to be 6ve end <br />�8��t prnvfsions of /awa and ardlnences govemin irris �pe of worfc wi!! be complehd <br />BpecNled her�s/n Qr noL The grr7rrtfng of s pemr�t does nof r�aume to ghre authoriry io <br />+iio!�is or �.�nce!•the pmwsions of any urirer siate or lacal law roguPating constnn:iion cr the <br />perrormence of cans�ructiaa. That 1 am aut}torized by the owner of fhls properfy to perfomr ths <br />wc�rk ivr which app!loation is mada and l comply wifh the 5tate Con�ctors Law 18.27 RCW &nd <br />288.2Q0 WAC. <br />