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LE L- ICAL PERMIT A PL CA _O <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> 7;7( t:. - (545/wry' ,fi)) <br /> .906 <br /> PROJECT ADDRESS ,?.2 <br /> cM )/F' Sr -7/oo &✓fe v v y jv ir" 7g203 <br /> Owner Mail Address City State/Zip Phone <br /> Tenant it Address City State/Zip Phone <br /> yz5--�- <br /> ,C CAu c c /w6coices - -- 1,44 - 7 zdl 76 <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> Fr—r4E Ir 0(1/60_ <br /> State License Number (required) City of Everett Business�yLicense Number(required) <br /> Co 199/)7e_eci, <br /> Proposed Use of Building Contract Price of Work <br /> = <br /> ork <br /> 5.,7YI'e/m5 YA26 - -Jec_) <br /> c <br /> Square Footage (If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: ZYSCoVVivECY— (OA1 <br /> / tt4C <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105, <br /> 5P---- <br /> / <br /> /hereby certify that I have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances governing 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 PERMIT# <br /> violate or cancel the provisions of any other state or local law regulating construction or the <br /> performance of construction. That I am authorized by the owner of this property to perform the E I n t2 -+1(6/ <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and `� <br /> 296.200 WAC. <br /> # rL <br /> /.. r <br /> Date <br /> REVISED 08/06/2014 <br />