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----i <br /> I <br /> I �:���� �����1�_ ������' �����K,:/�, �'��� <br /> � CITY OF EVERETT PERMI'�' SERVICES <br /> � 3200 CL"DAR STREET, EVERETl, WA 9A701 <br /> 425-'1.57-6810 - FAX 425-25�-8857 - vrv✓w everettv:a.org <br /> � <br /> I <br /> I � ��� ���s�N" \ S 1 L���'C'�� <br /> PROJECT ADDRESS g�� <br /> � ��NaR—L -� �-_C�S _��I�VS �CQV1L'�AS�. 'h,1�c�,- �LL�z��t�_ `luo-325 � <br /> Ovmer '.ta�nn:r��ss C ti '�t,�•�dl: F�horc . <br /> � <br /> 25CJv .C#it'Zld�Ll S�— . _—.�.."�-�ZC.�1 . —_._._ J�1s� .__ . . . -- -- <br /> 'Cnart �-- — ��aililUj�CsS Gty 5!nteOp Phonu � <br /> � �, \ , . ` t, ayl,` ( �`�' l\ <br /> L.I���WL.1v � � t Elv W�_LUZ"lV �Z�' ICY �Gb.�Itv <br /> i --����_(___� _�_\� 1'�S�t'1- I <br /> EICGIntO'CO�IrlC1U� 61a�1A!d'c;s CCy 5!a1NID Phanc <br /> ' �.oc�EEl� `t�i6l — �y6o�`2� <br /> ' ----- — --- — <br /> S'ate License VumLer (requned) City o�Er�rett Business License Number(reqwred) I i <br /> ' - 3C�o0- -- ---- ---- <br /> �' i'roposed Use of liw!duig CoNract Pnec cf Work <br /> ; I <br /> i <br /> � Squa�e Footage Qf residential new mnstruchon, remodel or add�tien) Conlaci Persor,Contact Number/Email � � <br /> � - <br /> ' Numt�er ol devices(If low voltan�'1 i <br /> I �C� , _ n <br /> I�cscnplion of Work to !ie I'one JC�Zv�� Y1,��CZ, �UU�- .--- —- — _. . __ I <br /> ---� --- — - - -- -- <br /> � <br /> , __ 3 1JC'�J ��v'_u� ci-� �' nss-�1�!/ � R4�R�'1 R�{N� �N� '� <br /> � <br /> i - - -- - --- - - --- ------ -- - -- - - — � <br /> ii:tF -- -- - � i <br /> I CITY OF[VERETT LOCAL SAL[S TAX CODE IS 3105 � �� � <br /> l I <br /> I horchy r.crti/y fh�if I havc n:r 1 and cronnnr�l flris upp6r,afron nnJ knnt•�llic s,unc(o hr, liue.rru _ _ - . - -- — � �-- <br /> cnrrecf All pruvisions u/Imss anJ o�Jmances r,nwrrnmg lhrs fype nl v:ork�vdl be complefed - - � -- - - -- — -�- I � <br /> tvhnlh��i sper.rlied herein nr n � c y�dn6ny af��pennd Jocs nol pmsumr. Po yrvr. duflwnlY(� � Pf Rp11 T Y <br /> •iiolafe or cancd Ihe provi �ns ol m �nlher st:�le or local law mgidaGng corrsfrur.Gon or!fre �r I ��� � ` � � <br /> peAortn,�nce r.l rorrsfni �on ilr,d I�m aufhuri�rd by fhr, oKnc�ol this p�.�perty fo per/oon Ihe C I ,, <br /> work/oi�rhr� i applir.a �on�s n.nJc� �d I cornply r.�fl�Ihe. Slnfr. Cunhacfa�s l:uv 1 B 77 RCW�ind -- --, . _ --. - , <br /> 796 200 W . I <br /> - — 't'�-�_ _ �'�17 / Zut�-- -- - � <br /> ������� _ _— — u.,�� <br /> Nf b(�n rn[tCo•l ___� <br />