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� <br />� <br />u <br />i _ <br />�' �LECTRdf��4L �E�(V19T' ��'�iLB��7�9�� <br />� <br />CITY OF EVERETT PERMIT SERVICF_S <br />� 3200 CEDAR STREET, EVERE�T, !i'lA 98201 <br />! =325-257-8310 - FAX 425-257-8857 — cr�:+�:� everelP.•da org <br />�LO��v_�_��l <br />PROJECT ADDRESS <br />� C��+ner <br />t.ta�l ACdress <br />City <br />StatelLp <br />�I Tenant tAa�lAtldress CAy Slate�Zlp <br />I (,� <br />�� �SkUJ'A �GV�_ °'�.()!1 �� S}.�+�V i�. L�, P��C� (/�.� '"I�14'� <br />fi P S�� 2� �'t_ �-- � ---- <br />�IedricalConiractor L13dd.d]�._ss � Ca�; SfaterZ�a <br />I, _�� QFS�o4��'13�-- --- �O,o� -- <br />Siale L�ccnse Numbar Ccrhau I�r�ce =(': ioi�. <br />� C P.S�Q Titn� �PN�� _� QC �D�� <br />, Proposed Use of Build:ng Contact Person (Plan Revievq <br />I <br />�I Square Footage Q( resideMial nev+wnstruction, remodel or addil�on) <br />I <br />� � Jumber ol devices (II law vollage) <br />N <br />Phcne <br />I <br />I <br />Phcne � <br />zo6 <br />z�-� � <br />Fhcne <br />� <br />i <br />� <br />� <br />Ocscnption o( �Voik to Be Oonc�. __ _ \ — —�G� - � �\�- ��-� - <br />�e�r�,��r� o�v� -- — <br />��,\���,� -- --- - - <br />------ � <br />FE[ --� 1 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �^ Oi, I <br />L� i <br />1 he�eby cerLly fhat 1 have read and eramined fhis applicafron and Ano�v Ihc s��me fo be hue and i <br />coriect All provisions o/lav�-s and ordinances goveming fhis type of wo�k wul be complefed � <br />�.�hefher spenlied herem ornot Thc granling cl a permil dnes not presume (o give authority fo PERM��# � <br />viola(e or cancel (he provisiens ol any other sfale o� Iecal law regulaling consWchon or/he r I <br />peAarmance ol censt�uclion. Thaf I am aulhorized by Ihe owner ollhis propedy lo peAorm the C'� �O C-( r- �� O I I <br />�.vnrk !cr which applicafien is made anc' I compty �t��fh the Sfale Cont�aclois Lu�v 78.27 RCW and __, I <br />296.200 WFlC. I <br />,,// � i <br />:gnalu : -� �� � U�Ic �� � <br />