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� • <br /> _ — -- __ - <br /> � - _ -- - — <br /> i � <br /> j E�FCTR��A� PEIRIVII�' A���dGA�'VC�� , <br /> � CITY OF EVERETT PERMIT SERVICES � <br /> i 3200 CEDAR STREET, EVERETT, NlA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -:��ww evereriv�a org � <br /> I <br /> � � <br /> I � �/ �' /S r�.�W<� ��-� UNrS_� � P� ' <br /> i <br /> � PROJECTADDRESS <br /> il <br /> I � � ' <br /> T{—f�s?� �'.S J2A-�,s�'�- ---y'�—�`/�'-�z�l� <br /> � p����E� f�1a�lACdress Gly St:.:e/Z�o Phcnc . <br /> I <br /> j Tenant L13JACdres, C��;y State2�p Phcne � <br /> R✓ <br /> ; ��LL���-6_P1- �q.z/0��✓.�_5—_,��/_ �✓ 9� s 8o z S3-120 �13J I <br /> Electrical Contractor �:1ad Add�ess Cdy� Stale�Lp Phone �, <br /> i <br /> � I <br /> I <br /> ' ��_ rz � �3�y y3�+c� — i <br /> � <br /> State L�cense PJumber Conlr2ct Pnce o�'iJork , <br /> i <br /> I ��OL,S� � <br /> �� Proo�se of Buddmg Contact Person (Pla� Revievq <br /> � <br /> I Squaie Footage(If residential ne�r construcfion, remodel or adaition) <br /> INumber of devices pf low vollage) <br /> � <br /> Des�r��tion o(Work to Oe Done: � �c�L�rJ�- J 1�f �'��J� ����cL -_--. <br /> � 1�u— - �I�—� I <br /> FE[ . � - I I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 '�� 6 I <br /> �i 1 hereby certrly fhat I have read and examined Uiis applica(ion and Fnow lhe same!o Ge fn�e and J � <br /> � conect. All provisions o/la�vs and ordinances goveming tiiis type ol work vnll Ge comple(ed - � I <br /> I �vhether specdied heiein ornot The granling ola permi(does nol presurne fo g�ve auh�o�dy(o PERMI ik <br /> violate or cancel Ihe provisions ol any other slate or locallaw re9ula6ng conslr�ction or Ihe � � �(O� _ j/ � � <br /> j peAormance n/cons(ruc(ion, Thaf I am aulhonzed by the rn��ner ol fhis properfy(o pedorm fhe f I i <br /> i r:ork lor n�hich app6ca(ion is made ar.d 1 compfy rvi(h the 5lvfe Con6ac�ors La�v 18.27 RCLV and <br /> I ?96.20�INAC i <br /> ����-� ---- ---- Y � �a�— - i <br /> Signa!i,ru Oale <br />