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___ � --- �— -- <br />��.�����c���, ������A� ,������n�oo�� <br />�ou�P �� �v����� c�������� ���e�o��� <br />3200 CEDAR STREET, [VERETT, WA 98201 <br />475-257-8810 - FAX 425-257-8857 — www.everettwa,org <br />�7�z� �1�r�i����o �- 9�Z o3 <br />PROJECT ADDRESS <br />�ANQ�-� <br />Owner Mail Address Cily <br />Tenant <br />Pdail Address <br />�oJw ��T� i��C LLP ID%2'� 2yir �izz. SL <br />Eleclrical Contractor A1ail Address <br />P�J�J e �� �,� qo5 ,� I� <br />State License Number (required) <br />5 �� <br />Proposed Use of Building <br />Square Footage (If residential new conslruction, ren�odei or addition) <br />Nurnbcr o( devices (If low voltage) <br />Cily <br />� �p—I� <br />G �Sdg`°�y <br />Stale/Zip Phonc <br />Stale/Zip Phone <br />i <br />E`��2F I I �i�. �f.v �lvl�Si7�� <br />Ciry Slatc2ip Phone <br />fl�aLo OZ <br />City of 6verett Business License Number (required) <br />���oo % <br />Contract Price of Work <br />Jti�� <�,a�� �aMF� ��� ��_�;�, . <br />Conlact Person/Contacl NumbedEmad <br />Descnpt�or ot Work to Be oonc: _ C �� A�� i� �= L�zC i tc �f h� _P � �zC. Z� q M� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS a105 <br />I he�eby cr.riily Ih�it I havr, read nnd examinrd fhis application and knov� fhe same ta Ge lrue ond <br />conecL All p�ovisions o/laws and o�dinances goveming (his (ype ol wodc ��nll be cumplefed <br />v+he(her specilicd herein or noL Thr, gron;ing ol a pem�if daes not presume (o give authoriry tc <br />violafe or cancel thr. provisions of any oPrer sfafr, orlocal la�v regulafing cons6acfion o�the <br />peAonnanr.e o( consln�ctinn. Th�l 1 am aulhonzed Ay lhe ownerol this properfy fo peAorm fNe <br />N'0!I( IOf N'IIIf.II lnOIIG)IIOI) IS l718(IL' anJ 1 compty �vilh Ihc Slate Confractors Lav✓ 18.27 RCW and <br />zea.zoo wnc. <br />c�� �� f o' i 5 <br />--�-- �--„igwWre J — -- ite -- <br />f-[E <br />.�� 00 <br />P[RP1IT# <br />� (�D�-o5� <br />�q.vrsr,norvnci:oi.; _ ._ _ <br />