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� — ----- <br /> ��LI.,���<l�.:I�I�,4 a�y/K1�-, �,�Il�i 1��u�..j� .!�fi�" ir !l-,��.�.� 0 l�.J U\� <br /> ��'���� '�� �0�����I� ;����a� �������� i I ',� O�/ <br /> 320U CEDAR STREET, EVERETT, WA 98201 ( - v�0 <br /> 425-257-8810 - FAX 425-257-8857-w�w.everetiwa.org E �7�(� <br /> f�PPLICATIONS AP.E ACCEPTED �RONi S AM TO 4 PPJ - 9EBIT�:CREDIT CARDS ARE NOT ACCEPTED <br /> �. I,�1tJ'Qr+<v� Waq� FJ<NG�f7 w!` ��6�-�3_ <br /> PROJECTADDRESS � <br /> �ommuo��v�T�s,�" 7it�U Ha��l�so� R� Ev<�it �vA 99za3 `1.25•34Y•710A I <br /> Owne� Mail Address Ciry StatelZip Phono <br /> Tenant Mail Address City State2ip Phono <br /> �nnoda���� f:l<cl����,lw� P.O. Qo� C?J3 �nwo � Wh kYo36 Y2S•ZQO•7Yo3 <br /> Electrical Contractor Mail Address City StatelZip Phone <br /> �p��invF�r�sSlcr_ <br /> �, B�G. � <br /> State License Number ConUact Price of Work <br /> �us sioP c�ca��� G„la� _ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescriptlunafWorktoBeDono: 1n5fa��af�a o� awS IZa$icQ Tr'�cr�Si �' $lqy�°'S 7Gh <br /> U1�Xtr�roukcQ SPVVicc.. � � brukc� C�rC��45 <br /> NUTE: WIRING IN NON-DWELLINGS IS REQUIREDTO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> c 3. r�S <br /> CITY OF EVERETT LOCAL SALES TA::CODE IS 3105 <br /> I here6y certrly ihat 1 ha��e read and exanined thfs application and know the same to be truo and <br /> correct. All prov�sions of laws ar,d ordinances governing this fype o(work wil!be completed <br /> whether speafied herein or not. The granting of a permd does not presume to give authonty to <br /> violate or oancel the provisions of any other state or/ocal law regulating construciion or the <br /> per(ormance ol const�uc6on. Tbat I am authorized by the owner of fhis properly to per(orm the <br /> work for whic6 application is made and/comply�vith the State Contractors Law 18.27 RCW and <br /> 29G.200 WAC. �� <br /> c�v/ - <br /> SionaWre Dafe <br />