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� <br />� <br />��M��-�-�u�,��. ���n�������,0���9�� <br />CiTI( OF E1iEREiT PERiViii" SEFZVi�ES <br />3200 CEDAR STREcT, EV�RETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — swrdw.everethva,org <br />1331 (�u�,sd., s� <br />PROJECTADDRESS <br />��o� �G�� 133) r1�,��, 5F � �J�-�� <br />Owner <br />Tenanl <br />Etedrical C <br />A1ailAddress <br />PdailAdtlress <br />E� f;� L�,c. g�z5 3y'^���, <br />inlrado�--Mad Address <br />IT��SL `6rSoI�Q <br />Slale License Number <br />L-,,�� <br />Proposed Use of Budding <br />Square Foolage Qf residential nev+ construction, remodel or addition) <br />Number of devices Qf low vollage) <br />Cily <br />City <br />L_3� <br />City <br />' �'°��y� <br />C-I �id7 `O <br />q�2o3 <br />SlatelZip <br />StalelLp <br />yz�-9o3-I <br />Phonc <br />Phcn� <br />% !�l� liSZ%� ���.5"�`5'7� <br />Slate/2ip Phone <br />�— <br />Conlract Price of bVork <br />Con�act Ferson (Plan Review) <br />Descriplion of Work lo Be�one: /'�" ����� �z�, ���� C� ��C��_� '— �'S��11 � <br />(�C!'1DUel Fr�J �'�_n ��1�5 i� 'Nn�-t �d`�� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9705 <br />I here6y ce�tily (hat I have read and examined (his applicafion and knov� (he same fo be 6ue and <br />conecL All p�ovisions ollaws and ordinances governin9 this type o/ wo�k wdl 6e complefed <br />whefher specilied heiein ornoL The g�anting ol a permit does not presume lo give aufhonty to <br />violafe o� cancel (he provisions ol any ofhers(afe orlocal la�v regvlafing cons(ruclion orlhe <br />peAo;mance o/construcfion. That I am aulhonzed by fhe owner o(fhis property (o pedcrm Ihe <br />work /or which application is made and 1 comp/y with (he Sfafe Confrac�ors Law 18.27 RCW and <br />296.200 W�1 C. , <br />�;r//�� / /!�/��! <br />FEE 6 <br />G�'� o, <br />PERMIT� <br />E I`�0 ��b5g <br />