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To� Page 2 of 2 <br />2015�01-14 23�.27�A4 (GMT) <br />� <br />1 B8B857419fi From. David Wyatt <br />. <br />�Y.��v+.B��tl��� ���A�E� EI ���3�,�����5�0� <br />���°� �� �v���r�- ����a� ����s��s <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 –www:evereth�da.org <br />� I G`l .,���,.� ;��ST- E�eret� W�'. 9 �Za3 <br />PROJECT AODRESS <br />1'�ckr'�� Sc�r�c "� %�C>`� ��PI���.,� '�T- �vCl'�'�'{" - <br />OWnG� Wai! Address City <br />Tanant <br />� <br />Atail Address <br />ci-�-�- EI Pc � r ic. 7��c. -? O <br />COfltfBdOf - L7eil Addruss <br />GJY,�T T�`?- �145'PD <br />State License Numter (required) <br />Proposed Use of Building <br />i <br />City <br />- .Trc�..�� <br />Ci�y <br />ti/f�. �a?�i: <br />Sta�=lZip - <br />ii <br />State2ip <br />-wd.-Q�sz <br />SlalelZip <br />(Lc�,i 9-F�- <br />`_; o 01 <br />Phone <br />Phvne <br />�3 �iC� <br />454- <br />Phone <br />�5 i - 2 2-=(- <br />Ciry of Everett Business License Number (required) <br />� j � C�G', C�C� <br />Contract Price of Work <br />Square Eootage (If residential new construction, remodel or atltlition) CoNact Person/Contaci NumbedEmail <br />Number of devices (li low voltage) . _ , , . . <br />Description ot UVork to Be Done: 'D IV i��-� S C' '� v �... r ?�� �%���-f^ �� 5 <br />. � ^ � - . . . . .. .. . . , _ <br />� �<P(Ni�� S-�c.,�•,P — <br />IFEE <br />CITY OF EVERETT LOCAL SAL[S TAX CODE IS 3105 �� D� <br />l he�eby ce�ti(y Ihat f have reatl and examined this applicalion and know the same lo Ue tru� and <br />co�recL Fill provisions o/lnws and ordinc�ncos gnvoming fhrs lype oI �vodc �vill be completed <br />•. �vhetherspecified herum ornoL 7ho granting of a pem�il does rrot prrsurne to give eulhonly (o � PGRMIT# <br />violate or canco! the piovisions o� eny other sfpte or local law regulating cons Wction or the � <br />performance of consvucfion. 1'haf I am authonzed by the owner o(this property lo pedonn the I GD _ <br />woik )o� which eppli� s made and I compty iai(h fhe SYate Cont�aclors Lew 18.27 RCW and ✓ <br />296.200� <br />� i /��`- � �'� �llsl2�l6 <br />� <br />REVISEOGdN6Q0f0 <br />