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- ---_ . - ---- <br /> � f RICAL PERMIT ARPLICATION <br /> ELECT <br /> CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET. EVERETT, WA 98201 <br /> ! 425-257•8810 • FA;< 425-257-8857 -vrv✓w.everettwa gov <br /> �, �, So9�,3y <br /> �� � I �� �) (� l=Jt'r ��--� /�.� c..�� LLi � �l �l �7 —I 5 <br /> I PROJECT ADDRESS � <br /> i <br /> �.� Owner 1.taJ Aadress Ciry Ste;eZp Phone <br /> fi�nv_ �F r�r,.,F�;<<. � ��� S l� t�ve�c. -k M•,I l �,v. C✓c rc rt- W.� � P�?���{ ', <br /> �. Tenant t.taJ Adtlress ry Slate2ip Pnone <br /> C�lSC/1 �lC�4c�. � ��.5 �Utilhin� fz� �/��� 5 U.�n1� �l� �� Y�U i� �753 �7a'-(�yyvS <br /> � EleclriCal COniraclor lda��l Address�— G:y StatelZiD Pnone I <br /> i I <br /> . �CV�_S�.NL1-G�3 �`i -L���I��� . <br /> State License Number(reqa�retl; City o`Everett Business License Number(reqwreC) <br /> � �� DOO <br /> Co<nn�'�c�_�� tZ�+�.: i �f��,-, � � f <br /> �� Proposed Use o(Bwlding ' Contracl Price ot Work J, 4 ;� �JUIc'><n e�e���%� • <br /> ��a4�n Crn�e<-�, � � - c�e F <br /> �� ��53-£���-l�tv3" <br /> � Square Footage pf residential new construcGon. re�nodel or addition) Contact PersaNConWct NumbeNEmad <br /> � <br /> I <br /> �, Number of devices (I(low vottage) <br /> i <br /> II Descnption of Work ro Be Done� rC1 �. ' k r�c'� (' �–�n �� <br /> FEE 1 t1^ I <br /> �� CITY OF EVERETT LOCAL SALES TAX CODE IS J705 `'jb /L��` v J � <br /> ,T1 �) / <br /> I neieby certJy that 1 havo read and examined th�s appbcahon and know the same lo bo(me and _ <br /> . corroct All provrsions ollaws and ordmanc^s yovernmg this typo oI u�orN �vdl be complefed � � <br /> v:hether spealied he�ein or nof The grantm9 0l a pennrt does not presume to give au(honty to PERMITk <br /> v�olate or cancel the p�ovisions ol any ofher state or!ocal law regulating const�uchon or Ihe /� <br /> per/ormance o/constn�c6on That 1 am authorrzed by the o�vner ol Ihis p�operty to UeAomi Ihe E I�D�I / l <br /> u�ork lor which application is made and I compty with Ihe Sfafe Conlracfors Law 1827 RCW and � � <br /> 296 200 W ! <br /> � 17C ' � <br /> v�> .-.r��i I <br /> Si aWre Date I <br /> � / I <br /> aewseooaoavo�� _ ____ _ � <br />