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� � <br /> � ��..E�TRBf��4� ��F��9�' t���'�.V���'9�6� ; <br /> ' CITY OF EVERETT PERMIT SERVIC�S <br /> � 32C0 CEDAf� STRFET, EVERFI i, UVA 9fi201 � <br /> � 425-257-8810 - FAX 425-257-8857 - �•�ti�nv everettwa.org I <br /> t i <br /> � <br /> ' 1�-��<��� ,�-�- ; <br /> ; PROJECTADDRESS <br /> � <br /> �� .���1�cuz—����o ����� (=-�va ��0 3 � <br /> � Ovrner �:ia�l rldtlress Qly Slate/Lp Phcre � <br /> � y�s So� � �ra � � <br /> __ � <br /> Tenant hlail�lddrzss Cdy SlatelLp Phone <br /> I �i <br /> I �C</l�� i� <br /> � Etectrical Cordrador hlail hddress Cily Stale2�p Phcne <br /> I I <br /> I <br /> Sla�e License Number Contract Pnce of Work i <br /> I <br /> Proposed Use of Buiid�ng Conlact Person (Plan Revie��i) � <br /> i ' <br /> , Square Footage Q(residential new consiruction, remodel or addition) <br /> I <br /> � <br /> I <br /> i <br /> Number of devices (tl low vollage) � <br /> / y' � � � �J��� i <br /> Dasuq�6on oi Work �o [3c Done. __��(._�!__4__—�L-.��_r�-�=' �� ---- � <br /> �Gt_ (�(./G�S���- - ---- _ I <br /> , ---------- - -- ---- - I <br /> � FLE I <br /> i CITY OF EVERC-TT LOCAL SALES TAX CO�E IS 3105 /� D . D D <br /> ' J <br /> � I heieUy certdy that 1 have read and examined fhis apphcafion and know thc same(o be true and ____ .___ -- <br /> � correct. All prov.'s�ons o/la:vs and ordinances yovernino�his type oI�.oik�•:i�l Ge complcted --- - - <br /> , �•�helhe�spec���ed he�ern or not 7he grantmg ol a peimd does not presume(o give aufhority(o � FERh11T±� <br /> � violale or r,ancN(he provisions olany ofher stafe or local la�•�iegulafmg constn�cl�on or fhe � / �O � DO (y <br /> ' pe�forrnar.ce o/construclion. Tha(I arn au(:ionzed by the o�rner ol fhis properiy!o P�'���im fhe O <br /> � �vo�k or rihich applicsGen is made and 1 compty wifh(he Sfale Con(iaclors Lmv 78 27 RCW and I <br /> � 296 0 Vl� <br /> // - ��a� � `� <br /> / I . ` � ,r,. -- Da!e I <br />