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To eieclncal pe�mrt Page 2 of 3 20?��Od48 71 50 39 (GNT) • 1 4 2 59686 3 5 5 From Roman Bey.rcnuk <br /> � <br /> � _.—.'_—__— _ — — - <br /> I - �L.��TRICA�. P��IV11�' AP��.IC�TlC1�! <br /> CITY OF EVERET7 P�RM17' SERVICE� <br /> 3200 CEDP.R STREET, EVERETT, V�lR 98201 <br /> 425-257-88�0 - FAX 425-257-8857 -ww�.v.evereit�.va org <br /> I <br /> I <br /> �F ����1. _o.� �.1Q�I ,�'r v.) W �,�c`ao� i <br /> I PROJECT ADDRESS � <br /> o �� �e,2_—_;��z�,�e��L \\\ � �'Y. ��'�� 6��� .ie�e ��.� UJA qg�u�_ � <br /> Owner tv9ailAtldress � Ciry Sta!elLp Fhone I <br /> � I <br /> ' __._.—. ___. . _ . _ __— � <br /> i � l-enanl , MailAtlOrzss. Qry � 5late�Llp Phone I <br /> i �i1. i�L��c�d�c . �\a�b 1�1 F��.��� s�C ��1�tC���b,rc�,V.)(�, �-03�'1 � <br /> I Eleetnr.al raetc P,ta��TdCress C�ly 5taleRip � Pnene i <br /> ua5•�1�,-al&o <br /> � T1�1-CEC� � C�� ��\C.� �00 � _ <br /> ISa te licensu Flumhzr � Contract Piice of VJurk <br /> �.��e�'��a.� �.o�r -- <br /> ' Propcsed Use of L3u�lding Contac.i Peison (Plan Reviev�) <br /> i <br /> I SG 1�Foot�go(If re,idential new cnnstruc�ion, remcdel or add�ion) . � � � <br /> i__'c�� r•, _.�.. . .' � , -� .._.. __�.� ..'--'---- ._ _.._ ... :._ ._ �._._._..- - -- -- - _ ._ - - -- - _.--- -_.._. _ __ ._ . _ ____ <br /> ` ���L <br /> � Number ot devices(If low venage) <br /> � <br /> IDescription nf V�brk tn Re Oona� �Q_` ���'����_' . _— . - ----- I <br /> I . . . . -- � � -- "—� . . . -- - � <br /> i <br /> . . __ _ . --- I <br /> fEE � <br /> I CITY OF�EVERETT LOCAL SALES TAX CO�E IS 3105 �f� �G <br /> t � <br /> � 1 hor�by certi(y that I havo mad and oxamm�d this appliceticn and know tho seme to Ly(n�e and _. � <br /> Icorrect. Al1 provisions oflaws and ordinonces govemmg this fype of�vo�k�vrll bo completed -- --- <br /> rihether spr.c�i:e�/hemin ornot The granhng o(a peimi[dnas nnt prrtsume to giie authonty to PEIZMIT# <br /> violale orr.anc_el�he piovis�orrs n/any ofber c1�fe nNr.c:il law n:pul:ding�nnslnir.fion o�Ihu �/ <br /> perlorm nce oP onswctloa That 1 am aathonzed ey fhz oi-.mer ol fn(s property to peAorm(he � E J GJ O � —I O D <br /> , wudt 10 ��hic, a�plication�s mado and I comply�v�th Ne�tate Lontmctors Law 18.�I HGW antl _ <br /> � "^6.20 �A . � . <br /> -- ' O`1 rd.8 l� <br /> �i � � ; � Data .. - I , <br /> i <br /> RcV15EDJ1' 1] I . <br />