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� � <br /> � <br /> E9�E��'RO��� PE�IV�B�' �Pf��O��`�O�h�l <br /> CITY OF EVERETT PERIVII'� SERVIC�� <br /> 32U0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 0 2- �el e�,�/'� � S'�e � D 3 <br /> PROJECT ADCIRESS <br /> �� l 7'qCo ��o,uy 11J3O2 ��`�/^�e%✓ kJ'� �UPfP?� <br /> Owner MailAddress Cily �� Stal 2ip Phone <br /> �� � � <br /> Tenant ilAddress Ci�y S�alelZip Phone <br /> � (m <br /> �,�� ��;�i�����,� ��� y6 ������- ������ <br /> , <br /> EledricalCoNfa[tor MallAddress Ci�y Slale/Zip Phone <br /> � r�a � e-LqQ6 � � � � � <br /> Slale License Number Coniracl Price of Work <br /> Proposed Use of BuikJing Can�act Person (Plan Review) <br /> Square Footage(If residenlia�new conslruction,remodel or addition) <br /> Num6er of devices (If low voltage) <br /> Description of Wark to Be Done: <br /> �.�(�t � Q�-ce�I�i c�e �a� lD <br /> � `�e� — <br /> , , <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CO�E IS 9105 �� U� <br /> I hereby ceArly that 1 have read and examined(his applic�l�on and know fhe same fo 6e(rue and <br /> correcG All pr�visions of/aws and ordinances goveminglnls type ofwoik will be completed <br /> �whefherspecilied herein ornoL The granfing of a permif does no!presume fo give authonly fo PERMTTk <br /> violafeorcancel(hepravisionsofanyotherstafeorlo allawregulafingconslructionorthe � � � ,1 � ^ Ot I <br /> pe?o�mance o/consfrucfion. That 1 em aulhoriz fhe owner ollhis property fo peAorm the (J <br /> wnrk for which applicafion is made ana 1 co ifh fhe Sfafe Coniracfois La�ti•18.27 RCW and <br /> 296.200 WAC. � <br /> � v � � ^ /� <br /> Slanalurx Dat <br />