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06/27/2014 01�59 <br />Ca985 P 001/001 <br />E:..cCTF31CAL PERIVII� APPLICATION <br />CITY OF EVERETT PERMIT SERVIC�ES <br />3200 CEDAR STREET, EVERETT, WA 98201 ��_� � <br />425-257-8810 - FAX 425257-8857 — www.everettwa.org 6— <br />G I �lob��� Z <br />��' 7 ��� 3r���.S�� <br />PROJECT ADDRESS <br />r. � r , � , � � r. , � ,� i � �� �//] � rA.b�'!' /,� {'1 . 7�t/L-/� L/� �/�'.2 7�� <br />Tenenl <br />Electrical <br />Mail AnC�ess <br />Meil Mdmss <br />�:� <br />Moil Address <br />�/�.�SS / 2l� <br />State Ucenca Number <br />Gr�n���c� <br />Proposed Usa o( Budding <br />SQu2fe Fon�age (If residenUal new consWcfion, remodel or addNon) <br />Number oi tlevices (If low vollege) <br />CiA' aWte2ip <br />Ciry <br />Clry <br />StatclZip <br />Stat�p <br />comrad Price of Work <br />Contnr,t Pnrsan (Plan Review) <br />Dc�scriV�on oi Work W �e Done: [�� UV ��� w�1 �� . � l� Il���✓� u� � <br />-����,�.0 Il�' <br />CITY GF EVERE7T LOCAL SALES TAX COp[ IS 3105 <br />1 hereby cortily thnt I havo �cK�d dnd nxaminod fhis nppllcahon e�nd know tlro sum� fo hn trt�o and <br />corrcct. A!f pmvisions ol Inws and ortlinnncna gowminp N�is rypo o/ wnik w+ll Dn complo;,^A <br />whofhor spocifieAhemin or not Tho �ran6'ng of a ponnd doos nnt prosumn fo givc ni ihr,rtfy fo <br />violntc or cancel !he provlsions ol ony ofhor stafe or lor.ol law royuletinp consfrud!on or fhr. <br />pedormancc olconsfruction. That I am aulhonzod by !he ownoro! thrs pr�perty in ponorm thv <br />work lor which . �cation is mado and I compry wilh tho SYntu ContiActor.: Ww 18.27 RCW ond <br />29G.200 WAC� _ <br />Phonc <br />� Phono <br />9 -2i�� <br />Phono <br />r« <br />/ � OC� <br />r�RMrr� <br />� I�{�OCn-[�� <br />