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� <br />� <br />�. -• �. i� ' � � � , .��; � ii? � I ��, ��` � � t� M a <br />CITY O�r E1lEREi'T PERfViii ��fZ1i6C�� <br />3200 CEDAR STREET, EVERE?'T, WA 98201 <br />425-257-8810 - FAX n25-257-8857 — www.everettwa.org '7_0�� ��f <br />� OS Sf _Fve,��t Mcll G✓tin <br />PROJECTADDRESS <br />Owner <br />�p��f �- �✓��i ����, <br />Tenant <br />A7ail Address <br />MaA Address <br />Ciry <br />City <br />C �c{07.,7�36 <br />Slale/Zip <br />StateiZip <br />Phone <br />Phone <br />��t I�rvlcG ��C✓ �LC S�/7 �'ci{?c!�✓y � fl� wA 9�yzy �5,�'"y%� r�� <br />Elec�ricalContraClof MailACdress Cily State/Zip Phone <br />CL ID/:R�SN�7EMc✓ <br />Stale License Number <br />C�m m crG i � I <br />Proposed Use of 6uilding <br />Square Footage (If residenlial new conslruction, remodel or addilion) <br />Number of devices (II low voltage) <br />Description of 6L'ork to Be Done: ry�`� P��'"� �o > v n�O l�_ <br />CITY OF EV[RETT LOCAL SALES TAX CODE IS 3105 <br />�� i 000 <br />C. nlracl Price of Work <br />T� ff M.,,,n,, aSi .�iL- y89� <br />Contact Person (Plan Revie�v) <br />I hereby cerfdy (hat ! have read and examined fhis applicafion and know fhe same fo be (rue and <br />correct. All provisions ollaws and ordina�ces goveming this (ype of work will be completed <br />whefher specilied herein ornol. The granting o/a permit does nof presume (o give authonty to <br />viola�e or cancel fhe provisions ol any ofher sfate oNocal law regulating const�uclion or the <br />performance of construction. That 1 am aufhorized 6y the owner of fhis propeRy (o perform fhe <br />work for which application is made and 1 comply with lhe State Conhac(ors Law 18.27 RCW and <br />296.200 WAC. <br />�//y <br />FEE <br />���' �D <br />PERMIT# <br />E /�� 7--D � <br />