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EL��CTZIGAL PERf�f��' .�P[�LI�:A�,���:���! <br />CITY OF E'VERE'3"T F'EFiiVI�T SERVi�E� <br />3200 CEDAR STRE[T, EVERETT, WA 9$Z09 <br />425-257-fi810 - FAX 425-257-8857 – wv�,v.everemv;:.or� <br />APPLICATIONS ARE ACCEPTEG FROM1 8 AM 70 4 PA7 <br />t,� (G .� u CoY.Y,r«�. �.. � , _ <br />PROJECT ADDRESS� <br />Owncr <br />Tenant <br />MJiI IWq�CS� <br />Mall nGamss <br />ciry <br />City <br />Slate2ip <br />State2ip <br />Phonc <br />Phone <br />MzF:� Llr��,��L�c_ �,�33I'�i���. � �1c5 4�z��� �.,t1 `��i3y :�s���1-ss� <br />EleUncal COnVaCtOr Mail iWdress Ciry State2ip Phone <br />N"1 �� 72c>FL � a110 � <br />Stato License Number <br />I�� i-�. � I;��:�e � Su✓;�r s <br />ProposM Use of 8uilding <br />�escription of Work to Be �one: <br />A1 I ) <br />��A �.: lr � it"1_.V.. <br />� <br />,� <br />���3'��� I� <br />Contracl Prica of Work <br />�c�t ;.�..trtn•:�5 — <br />Contact Parson (Pian Ruview) <br />NOTE: WIRING IN NON-DWELLINGS IS R[QUIRED TO FEE <br />�E IN RACCWAYS, MC OR AC CABLE. q� <br />U�.�Y> <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hAreby cortity that 1 hava rgad and examined fhis application and know tho samo !o be fn�e and �� ��7 <br />conoct. 11/1 pravisrons ot jaws and ordmances goveming this typo ol K•ork will bo, camp/ofQd J l I 1- I� O <br />�vhetherspea�ed herein prnot. 7ho,yranting of a parmrt tloos nof resumo to g�ve authairy to <br />v;olafc or CJncol fhe proGisions of any ofhar sfato or local law roguPatinp cronstruclion or the <br />peAomi, nce ol constru6(/on. That I am aurhonzod Dy fho o�5ror of th�s property to pedorm [ho <br />wodc for�vhich aflnlicatlon is mado and ! comply wilh tho Stato ContraCtOrs Law 18.27 RCW and <br />//-/�-/ <br />oate <br />�ic:�>t'd L58HLSc52bi:n1 EL96Si9868 dN�:wo�� 6��OZ TSOZ-BL-f10N <br />