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�91/24/2007 10:1a 4253778y77 <br />E05CH ELECTRI(; INC <br />PAGE 01; �1 <br />�LE�Y`RiC��- �'�F�NIi�' .i�.PPLi����li3Rl <br />Cl7Y +?F EVERETZ' PIERMIT SERVICES <br />3200 CGDAR S7REET, EVERETT, WA 98201 ' <br />425-257-bE110 - FAX 425-257-fl857 — www•everettwa.org <br />APPL1CA7lONS ARE /aCCEPTE6 FROM 8 AM TO d PM - DEBIT & CREDIT CARDS ARG NOT ACCEPTED <br />'II� Lihcievt. Csp��'+�Cou�t) .__ <br />PROJECT ADDRESS <br />Et�F� a�15 i�'i' St. .Everef�_ Wf�' �BZGI �z�.3oa.1121 <br />Ovmer <br />M17�11 Mdress Ciq, SlalelLp �'�"e <br />Tenant <br />1Aai1 Afl4tess <br />nscr+ E��ic. ��ic. � <br />Goc�rieal ConUactor Mall Adtlress <br />s, Usct-IExq93 <�JT <br />State Liconsa Number <br />Propased Usc oP 6ullding <br />Descrip0on Uf Work tv Be Done: <br />3 <br />� <br />NOTE: WIRING IN NON-DWELLINGS IS R�QUIREU TQ <br />CiE IN I�L[Wl�YS, MC OR AG CA6LE. <br />CITY OF L-'V[RGfT LOCAL SALES TAX CllpE IS 3105 <br />Clly <br />StolelZlp <br />Phvne <br />S-rEv�r�►s L�� 98�8 `��s. ��. s7�;. <br />Ciry Slale/7J0 Phone <br />`� � Z- 7 �'S �.% Q <br />ConUacl Prica of Work <br />Contact Porson (Pian Reviow) <br />I liuohy cerfify Ihnl f have read nnd uxarnlned ihis upplicnfion und know Iha samn fo bc fnro AnA <br />r.rnraG. A/l prnvisiw�s ollaws nnd ordfnonces �oveminr� th�s type ofwork will bs cornpleterl <br />wiir.mer sp��r�fiod b�roln or nol. The �remOn� oI a pormd daes not presumo �q giv� uulhnn(y to <br />vinlntc or r.,�ncr�f Ihet�mvlsion5 of any o(Ocr sL7(o of lorA! l�w rc�7ulntinp consfruCbnn or 1ho <br />purkmnnnce ofcrnsl1ucfion. ihef l:�ni authodzod by Vie nwneror (his prcperty to pertorm tbo <br />woifc (cx whir,h �ppllcaflon Is madu and I comply wilh Ihu Slalo CanGaclors Law ; 0.27 RCW and <br />296.200 WAC. <br />—�`/' . �-a�-o-� <br />5��' ��y„ -- ----"^- Dute _'----_.� <br />� �� <br />FEE <br />