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� � <br /> - ---- ---- — ---- —.—. __.— � <br /> ELECTR�C�►L P�RIVII�' r�t���VCA�'oCDi� � <br /> CITY OF EVER�TT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257•8857 — t��nv�v.everettwa.org <br /> !a �0�- �'e,I� eU � -�oP . — <br /> PROJECTADORESS � <br /> i �`��e�L� � 1,�1� �c��-� ��o�-G-�II�. �}� ��ta� LJ�9�2U3 �Zs�3�� y � <br /> Otvner tvtaltAddress c�ty State!zip Pnone <br /> I <br /> i <br /> iTenant MailAddress C�ty Stale2�p Phone <br /> � �w �-�� - <br /> E'�eUricalContraclor M11adAddress C�ly SWte/Zip Pnone <br /> I �lale License Number Contracl Price of N'oik <br /> I ��� � I�n1u ' � ��✓DI)Yv� <br /> Proposed Us o(8uild�ng Conlact Person (Plan Review) <br /> 5 �� � ic�x2c� � looc� <br /> Square ootage Q(residential ne�v construct on, remodel or addilion) <br /> Number of devices (If lov�vottage) <br /> Descnption of Work lo �e Done: �1�� 1C(.P1C{�t�j"]�t R-- U J wl'�L�Y��' V� <br /> ����_�SIn�1-o�.��i:l 1_ <br /> I FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �5� <br /> I hereby certdy that I have read and e.ramined fhis applicafion and Anow fhe same fo be fiue and <br /> r.e�recL All pweisions o/lai��s and ordinances goveming Oiis type o/�vork will6e compleled <br /> whelher specilied herein ornof The granting o/a pe�mit does not presume lo give authonty fa PERMIT� <br /> violafe or cancel lhe provrsions of any olher slate orlocallaiv regulafing consfruclion orlhe � � � O� '— I� r <br /> peAo�mance o(canstructron Thaf 1 arn aufhonzed by fhe o�.vneral fhis propeAy�o pedonn(he J <br /> rooik lor�vhidi application is made and I compty�vith thc Sfate Contracfors Law 18.27 RC W and <br /> 296.200 WAC. <br /> ���__�._�—�1 �1.�� \1�� � , �-(p�l� <br /> S�anaNre \� " x Dale <br /> V <br />