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�� ;.�� �'�=;It^,..�r��� P��MI�' AI'PLICATIOf� <br />r��-�•v ;-;r:- ��-•:; q�;;:�� � 1' P�FMIT SERVICES <br />b�'t C�.�ct�.4P. S� REcT, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — wevw.everettwa.org �� I�F � �� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />���' j ��i r',��� �-C �, .�i �i'�C� 1� CLl�'t i I � y/,�� �Jb'� Zi'.S� <br />PROJECTADORESS� <br />; �� K <br />Owner <br />Tenanl <br />5-l�3 J���; � <br />rnail Addrese <br />Mail Address <br />��n� E« �.:.�i T <br />Ciry <br />City <br />ri 7�zD� <br />SlalelZip <br />StalelZip <br />L izo 4—o�j <br />Phone <br />Phone <br />��'�`�i Cn(��'�q �L� j03 r�l l�Y f��� ��r.r�tr 9olS lV.=� l��'_�jL Cfz•>-I�f- <br />Elecl�ical Conlractor Mail Address City State2ip Phone <br />•�#����� I-I �IGa k' N C �S"��G'C� <br />State License Number <br />Proposed Use of Building <br />_ � <br />�CC�O <br />Square Footage Qf residential neve conslruc�ion, remodel or addilion) <br />ls Z��.,� <br />, <br />Conlract Price of Work <br />Cont�ct Person (Plan Revie�i) <br />Description oi Work la Be Done: ���i i�' �� 7(�o i,� � 1L�•3 't� C-9 .'�•� ✓ <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />[3E IN RACEWAYS. MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3��05 <br />I hereby certi(y Ihal I/iave read and examined this application and know the same to be true and <br />correct. A/l provisions a(/a��✓s and ordinances goveming fhis type o(�vork will be complefed <br />e�hether speci(�ed herein or noL The g�an(ing cI a pennd does notp �esume to give aulhonty fo <br />viola(e orcancel the provisions of any ofherstafe orlocal la�v regulatiny construc(ron orthe <br />peAormm�ce o(constiuc(ion. That I am aidhorized by the ownero/(hisp roperty lo peAorm the <br />�vod<(or �a�hich applicalion is made and 1 cornply wifh lhe Sfafe Confracfors Law 18.27 RC W and <br />296200 WAC. <br />�/ // . l.J.:�n% �'���- /z_ <br />i <br />.lti� �„ .. �� <br />FEE <br />GG 2.��5 - �'C.3 <br />