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— — — -- � <br /> ��' ��"_= '' I�:!Is;�.° ,ii ' '�;='�!��r!', .!�,��'�,d�.�.�! 9�v�� <br /> ^d±`! OF �'��R��; !���fV�lTi �ER�fIGE� 7--16—a� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 O D --�7 <br /> 425-257-8810 - FAX 425-257-8857—www•everettwa.org C 5 3 3 <br /> HPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PAfi - DEBIT �:CREDIT CARDS ARE NOT ACCEPTED <br /> �6�?- M�aa�ic. Avchwc. Eu�r�i+�wl� QK2u1 <br /> PROJECT ADDRESS <br /> I �a�nMuN��v I �s t �1Cici Na��1�Sor i��� F�<rcff lvk 49�d� `t�s•3kv71oo _ <br /> Owne�� r --T Mail Address City SlatelZip Phone <br /> Tenanl Mall Address City SlalelZip Phuno <br /> �nna�a��vaCl<c1r�c. I�c PO. do� [a7473 L�nwt �. WA 49036 Y2S.2Qo•7Yo3 <br /> �� SlatelZlp Phone <br /> [lec!rical Contraclor Mail Address H <br /> ���nuc�r�tskr �3� z�� u� <br /> Stato License Number Contract Price of Work <br /> C�CG�U�1 C7u��1 <br /> gus S,oP <br /> Proposed Use of 8uilding Contact Person (Plan Review) <br /> DescriptionotWorktooeDone: 1nsVvllaEid o� �uS �u�i'R T�'��"i �' S�o�""� 7dA` — <br /> u�+2�y,��eW�«� �{ brakch C�r�a�45 <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE / <br /> BE IN RACEWAYS, MC OR AC CABLE. �n�^, �� <br /> �� � <br /> �ITY OF EVERETT LOCAL SALES TA%:CODE IS 3105 <br /> I hr,reby cerlily Ihat I have read and examined fhis applic��tion and know the same tc be trur, and <br /> cor�ect. Flll provisions of Inws and ordinances govem�ng fhis type o(work will be cornpleted <br /> whefher speralied herein or noL The granfing o!a pemut does nof resume to give aufhority lo <br /> violate or cancel ihe provisions of any other state or�ocal law reguPting conswctinn or fhe <br /> peAormancn o(ccnstruchon. That!am authonzed by thr,owner o/this property to peAorm the <br /> work!or which application is made and I comf>>Y w'i��� (he State Confractors La�v 1827 RCW and <br /> 296.200Wi1C. < <br /> �� �., -- ---�-/6 —_G c�__ (�b3 -�� <br /> S gnature <br /> —J%� Uate V/ <br />