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. � � <br /> _ _ _ _ — - --- -- — . - -- - - - - - -- __ <br /> ,- -- _ � <br /> i . . .,. . __ . .. � <br /> ' �L���RVGAL PERMIT AF��'f��C�►`�iC�6� ; <br /> CI'fY OF EVERETT ?ERMI'i SER�'I�ES ! <br /> ! 3200 CGDAR STREET, [VGRE iT, �A41 98201 � <br /> j 425 257-8810 - FAX 425-257-8857 - ��n�nv everett�'�a org � <br /> i <br /> j � <br /> � � <br /> ��_ �?�c�AY �NL�Nu�z -- — � <br /> PROJECT ADDRESS � <br /> i 1� �c r�c�rr � , � �g31 �N��`�AUF. �urzRo�i �l�`l— 5'$�0/ � <br /> iOvmer t,1a�lAddress cdy State2p Pnonc ! <br /> I _u /d - — � <br /> � <br /> � i��rant MadAd:ress C�T, State2�p Pn;;ce ; <br /> � I <br /> 1—���s,�lee,��04z� 9�O15w (� S�'c✓c^s W� �t9Z�, yz�� Z35-o6i3 ; <br /> I E'ecl��ralCentrac�o� :ta�lAr.d�ess Cdy SlateiZ��p P,�cre � <br /> � �� l� E S `1 S z Q ET J S 7J �J ---- <br /> . �:r!e L�Numbcr Coaliacl Pnce� <br /> i , � <br /> ' I'rcposed Use of 6ui!ding Contaci Person (Plan Rev�ew) ; <br /> � Squa:e Foo�age pf residential new construction, remodel or addition) I <br /> � I <br /> � � <br /> � Number of devices(Ii lo�v voltage) <br /> i "'" ( <br /> I Uescription ol Work to Be Done: � ��_��(�1��P�.�2c►.—._----_. -.---------.--- <br /> 1 <br /> � <br /> I - <br /> � <br /> � -- — <br /> F[E <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 .. —'J��/� <br /> 1 hereby certdy Ihaf I have read and examined Ihis applicafion and knosv 1he same ro Ge fiue and <br /> l I <br /> coriecf. A/l p�ovisions o/la�vs and ordinances goveming fhis type o!�vo�k mill be comp/eted ..:,. <br /> c:hether specilied herein ornoG 7he'g�anGng of a permrt does nof pms�me lo give authority lo PERh1ITx <br /> vrolale or cancel thc provisions ol any ofher state orlocalla�v�egulatiny consfruclion or Ihe - � <br /> perlormanceo/conslrucfion. 7ha('l�ama'u(honzedbylheou�nerolthisproperfylopeAormfhe' +E.I�05�. ,5 <br /> �voiN Ior whith applicatimt is made and 1 comply�vifh the Stale Confracfors Law 1827 RCW�nd <br /> 296.Z00 WAC. <br /> � _ — � — __�Z3 Z�� --- <br /> Sign� �� �ate <br /> I <br />