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� � <br /> I�Q.n����°�U�,�11, ����i10`� �'��' " [�.����"Il.�h�� <br /> �iTY UF tVER��i rEC�fVU d ��R�i8C;�5 <br /> 3200 CEDAR STREET, EVERETT, 4VA 98201 <br /> d25•257-8810 - FAX 425-257-8857 - �;r.r;v.everefl:ra org <br /> z`13o �0��;1�i /1� <br /> PROJECTADDRESS <br /> I �-�_�.G��,� _ 2y�� Cola^b�h /��c- ����,:ij- i.J�.�l`dZ�3 Z)2� -z�z •90'z� <br /> l <br /> Cv:nOf P.lz��lrlddress Gly SlalelZip Phone <br /> II�enant L�adAdtlress Cdy SIaIe1Z�p Phonc <br /> U'' S��- C)e___�}��c 1ZC� g�6zS 3ti1��„� (�� S,,;kL-3`�3 (�� Sv�'ll�., tr���.�1r6z7f ��25- 50�- 75 <br /> FleUiicalContractor �v7a�lAdtlress Cdy SlatelZip Phone <br /> I <br /> I SiTEGSE ��o�'R _ — <br /> State L�cen;e iJumbzr CoNract Price o1�Voik <br /> L��-�� <br /> Propo ed Use of Budding Contact Peison (Ptan Review) <br /> S�fa Footage(If residential ne�v conslruction, remodel or addition) <br /> Number o(devices (If low vollage) <br /> L'esciiplion of�Vork lo �e Done: i LeU �rrV�C� �r,�"IL l C'��`'�� zoa�"� —.. <br /> ,� i <br /> FEE I <br /> CITY OF EVERETT LCCAL SALES TAX CODE IS 7105 <br /> I hereby ceRdy Ihat I have read and examined this applicafion andknow the same fo be tiue and <br /> correcL All provisions o/la�•�s and ordinances goveming(his fype of�voik will be comple(ed <br /> �vh=the�spec�/ied herern ornoL The g�an(ing o(a permil does nol Fresume 10 give aufhonry to pFRh11TN <br /> :iolafeorcancelfheprovisronsolanyofhersfafeorlocallar�re,rulafingconsliuclionorfhe � U('j�_� �j(�j <br /> perfomiance oJ construclion. That 1 am aulhorired by fhe owner o/(his prope�ty lo pedoim(he E � � <br /> :,ork for�vhich applicatron is made and I compty r�ith Ihe Sfate Contractors Law 18.27 RCbY ard <br /> 296.200 WAC. <br /> �oi�(/ � �� �� <br /> m�alwe ���C <br />