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�LL �� �f �R�,��. ���V�A�y ,k�p��A���'��� <br /> �i a� �� �v��a��� ���c�a� ����o��� <br /> 3200 CEDAR STR[ET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br /> Ls��dB-lll <br /> S�b.6 �(P,vwoo�' ��e �✓��9 9��-t�� g l7-l� <br /> PROJECTADDRESS <br /> A�P,�n.v/GL3> ��l 3> C�/Pticc,ea�+ �� �.c.P�-1,�L � vl�- 4Y3�� <br /> Owner t�iallAddress Ciy Stale2ip Phone <br /> Tenant IdailAddress City StatelLip Phone <br /> � �C� ,v'�lj <br /> FlectncalContreelor MailAdtlress City State/Zip Phone <br /> State License Number(required) City of Everett Business License Ni�mber(required) <br /> P�oposed Use o(�uilding Contrect Price of Work <br /> Square Foolage Qf residential ne�a conslruction, remodel or addilion) Contact PersonlConlact NumhedEmail <br /> Number of devices Q(low voltage) <br /> Description of Work l0 6e Done: �_�� t9�? 0 ( C � <br /> FE[ <br /> CITY OF [VERETT LOCAL SALES TAX CODE IS 3105 �0 �� <br /> I hereby cer6ly thaf I have read and e.eamined Ihis application a�id know Ihe same fo be true and <br /> correcL All provisions o/faws and ordinances goveming fhis type ol work wi/l be comp/e(ed <br /> whelherspeci(ed herein o�rroL The granting oI a pem�if does no(presume to give aufhonty(o PERMIT# <br /> violafe or cancel the provisions ol any other sfate or local/a�v regulating consfrucfion orlhe ^ n' <br /> perlomiance ol conslruclion. That 1 am aulhonzed 6y Oie ownero/fhis property to pedorm!he t � �ou � J� � <br /> u�oik lor n�hich applicalion is made and I comp/y wdh!he State Contracfors Law 1817 RCW and �� <br /> 29@200 WAC. <br /> � « � <br /> S naWre Date <br /> r,ewseoue�v.oia <br />