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�LECTf��GAL P�RMIT �►PPLICATION <br /> C�TY 4F EVERETT PERMIT SER'VICES <br /> 320p CEpAR STREET, EVERETT, WA 982�1 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLIGATtpNS ARE AGC�PT�D FROM 8 AM TO 4 PM <br /> �(�OZ,.� l3�`_ ve �� ��rcre� <br /> �Ro�Ecr aon��ss <br /> (z.s�� <br /> e� 28i a � �v� I� v (�� 9 $ �� 59�22� <br /> Owi1eC Mgi!Address City State/Zip Phone <br /> �"�-1 -- _.__ <br /> Tenant Mai!addr�s Clty 5tate/Zip P�one <br /> � ` Zr�S' �' ar�, c� �_ Ev�u � �� �80�.Z�S 5- <br /> .: <br /> EfeCtfical ContCdCtor Mail Addtess Cky State2ip Ph4n� <br /> C' 1�'�C��� 1 S� �5 7 �y�-`� <br /> (�r.JV <br /> State License Number �� Contract Price of Wot-ic <br /> l Yv�E � t�YL <br /> Proposed Use of Buildin Contact Pers n {Ptan Review) <br /> Square Footage(If residential new cons#rud�on, remode!or additlon) <br /> Description of Wprk to Se Done: �p,M p i7C�P <br /> NOTE: WlRING IN NON-DW�LtINGS fS REQUIRED TO FE� <br /> BE!N RACEWAYS, MC OR AC CABL�. �O�� <br /> CITY OF EVERETi'LOCAI.SAL�S TAX CODE l3 3105 <br /> I heroby certify that I have road and examined thia applica�on and know tha seme to be frree and <br /> correcf. A11 provlsions of laws and ordinen�es gaveming thfs type of wor�c will be c�mpleted '� 7 <br /> whether specr5�ci herein or not. The gran6ng of a perm�t doss not presume fa gfve authorrty to � I L � � � � I � <br /> v;olate or cance/the ravisJons of any other sfate or local l�w regulating consfruction or the <br /> pertarmance of cons�iuctian. That 1 em authorized 6y the owner of this roperfy to perform the <br /> work for which appllcs�on is made and 1 comply with the Sf&te Con���L�w 98.27 RCW and <br /> 296,200 WAC. <br /> � <br /> �gna Dst <br />