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� � <br /> _ - <br /> -- - - - ._ i <br /> -- — � <br /> �G�ECTRY�AIL PE�IV�9T' ��'��.0���"���1 <br /> CITY OF EVERETT PERM17 SERVICES <br /> 3200 C[DAR STR[FT, EVER�TT, WA 98201 7 ` .� `I � <br /> 425-257-8810 - PAX 4?.5-257-8857 -tivw�v evereR�va ory <br /> E/ya7 -d� <br /> F� �r�Gi _...___ <br /> PROJECT ADDRESS <br /> C� . (� • E - - 3�v� <<'��l �'�e.� l✓� �8y� I <br /> p�•,��� h1aJACtlress C�ty Stale/Zip Phone <br /> �4'••-�_ —' <br /> Tenant MailAddiess C�Iy StatelZ�p Phone <br /> C. (�. 0 ?���_ _—C`"�v--- <br /> --- .—_ .— . ..------ ----- <br /> EleclucalContraclor nnadnaeress Gty si,iE•r7�� �none <br /> -�-�� �-�-=- - <br /> SIaIC l icenSC Number .. -'—� �- ContraU Pnce ol Wo�k <br /> _U��-����"' �----------- Conlact Pe�;on (Plan Review) ---- I <br /> Prr.posed Use of l3utldmg <br /> SU,, � <br /> Syuare Foolage(If resiAential ne�a construdion, icmoAel or add�i�on) <br /> Number of devices (II�uw vol!age) <br /> Uescrip�ion of Work to t3e Donc. �;� _G�5 // _ �'vi-- - - T!J��LC �""-. '�'s�-- � 1^-I'-�-'°// <br /> ---.1�.2� o� _1�.,.��'_— �y_�.- yd�c <br /> �� <br /> --0 -^- - - - __- - - <br /> FEG - — — -- <br /> CITY OF EVERETT LOCAL SALES TAX CODF IS 3105 I ��� " <br /> I hereGy ceri�ly fhaf 1 h,�ve read and exammed rhis appli[ation and knosv tlre samr. (0 6e f�ue ancl __ _ _ _ __ <br /> conecf. �II piovisior�s ollaivs and oidmances govemrng Ih�s(ype ol�roik wdl Ge compleMd ------ —� ���------ <br /> whefher spec�hed heiein or noL The g�anfin9 ol a pennd does nof p�esume fo grvc aulhonty(o PFRMITH <br /> wnlafe orcancel(he provisions ol any ofhr.rs(ale orlocallawr'egulaling con;hucfion orlhe � � `�O�_ O JO <br /> peAormance o(cnns(rucfion. Ihaf I am aulhodzed by fhe owner ol fliis pioperty fo peAorm Ihe I <br /> work lor which app6calion is made 1 comp/y�tiafh(he Slale Conhacfo�s Law iB 27 RCW�a!�d ___,_____ _______ <br /> 296.200 N�AC. <br /> __. <br /> �- <br /> _ -�-- _ -----_ -���'-�'- _ __ - <br /> I � Signalure L'.ate <br />