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EL��TF�I��Y_ ���;r�J��' ,+�� n���/�TlON <br />CITY OF �`JFt��.:i'; ��''�='�!`tii9�'1' ���RViCES <br />3200 CEDA� STREET,'.=':���{.- , �. ��J�' ?���, <br />425-257-8810 - F,4X 425-25 -;;� .: •- �vww.t:verettwa.org <br />a--a6-o 7 <br />Co 70,2 -/l <br />APPLICATIONS ARE ACCEPTED FROM 8 AM 70 4 PF/l - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br />/��I CVr�i�elLv�,✓ L,/�i';% #E2 <br />PRC JECT ADDRESS <br />eeL�,r�Bl�j C/ljrfi-rw <br />p1ihZA ' L[: P Qc�( �Jlo`G3' S/h✓ /h Tu ��� TiC %�5��%�1 <br />pwn�x . MallAddress City Stale2ip Phone <br />Ucl.c,Mt� i��k5 %�cl E✓Eit�GitF�F..i b✓A"i C-v�i�-� w�N `7`63,.j �zS-?S3-�Gd3 <br />Tenanl MailAtltlress Ciry Slate/Zip Phone <br />�FI*1LGLt.�r �y-,✓ 17��4 li���cwvr} laK. N. S/+-i�=w c. �vX `l5�3? �1�6-5`'f2-&7di <br />Electical Conlrador Mail Address Ciry StatslLip Phone <br />�IF�iLtSf�`I`Gd�W y �iG�, 6 <br />State License Number <br />�L(�t")i-s L _ <br />Prop �sed Use of Building <br />t� z�o, � � <br />Contract Price of Work <br />j ��At/r5 ln.l✓n�T-wo�p <br />Contact Pe:son (Plan Review) <br />DescriptionofWorktoBeDone: ���„�,�'�-�-% =C.� ,—c E;�--�.; i�.,iv cs�c.< �,s-7- C'i��`���.�`-�'�- <br />S,: t ..c-Fi �':-<: <br />NOl E: WIRING IN NON-DWELLINGS IS REQUIkED TO <br />BE IN RACEWAYS. MC OR AC CABLE. <br />CITY OF EVERETT L6CAL SALES TAX CO�E IS 3105 <br />I hemby certily thaf 1 have read <br />concct. Allprovisionso(laws� <br />�vhQf ier sp_ci(ed herein or nof. <br />viola e or cancel the provisions <br />pe�lc rmance of construchon. T <br />woik �or which app6cabon is ma <br />296.:'00 WAC. <br />1 _`—_ <br />this application and know ;he <br />nnvammn IhiS fVOe 0/WOIiC lY <br />��r3��7 <br />; to be Irue and <br />compleled <br />ie authonty to <br />!ion or the <br />o peAorm fhe <br />�827 RCW and <br />FEE <br />� o7Ga-Il1 <br />