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---- . ---. <br /> ���������� ��,����� ��������9�� <br /> CI�'Y OF EVE�tE�'� F'�RMIT' ��RVICES <br /> 3200 CEDAR STR[ET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —v�nvw.evereltwa.org <br /> I G ISO�`�)�� , <br /> � g `a�`t5 <br /> a a ►s ���� �� �r �k�� Y <br /> I PROJECT ADDRESS <br /> A��� T � <br /> O�vner MailAddress City Slale2ip Phone i <br /> I <br /> Tenan� IdailAddress Ciry State2�p Phone � <br /> , �aSas�- <br /> wR��/ C�oNsr �y�� flD'� st5«''�� �✓�2�r1` w� 9�ao� ���a. <br /> ElectricalConttactor G7ailAddress Ciry State2p Phone i <br /> � �� ��� 7 <br /> � wRFnr��Y �oaJ/� <br /> State License Number(required) City of Everett Business License Number(required) i <br /> I ���� S/� � l���� t <br /> Proposed Use of auilding Contract Price of Work I <br /> �-,�� /��,okr �{a5-75�/-G�=�v � <br /> Square Footage(If residenlial new construction, remodel or addilion) Conlact Person/Contact Number/Ematl I <br /> ,��"�b�"�URGNIZONSHZJGfinN, GOIN I <br /> Numbet of devices (If low vollage) i <br /> Description of Work lo De Donr �i �P�GGG SFiR�/�CG �DyO�L�"m/2� �a'���P�.__ <br /> ,pd� �'D ✓�pAG/ZM. -- <br /> FEe � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 `�7 !/�-(J� 6� <br /> 1 heroby ccrfily Ihat I have read and exarnined this applrcafion anA kno�v fhe same to bc Gue and _ <br /> conecf. All provisions of laws and ordinances goveming fhis type ol wo�k v�iN Ge completeU <br /> �•�hefherspec��ed hcrein or noL The granGng o/a pemiit docs not presume to give au(honfy to pERh1I T# <br /> violafe or cancel fhe provisions ol any ofher state orlocalla�v regulafing constn�cfion or!he � I�� � �� <br /> pedormance ol construction. That!am aufhonzed by the o�vner o/this property fo pedorm Ihe � <br /> n�ork lor whicir application is made and 1 comply�vifh fhe Stafe Cantrac�ors La�v 1827 RCW and <br /> 296.200 WAC. <br /> � � ���f� �- a 7-i.� <br /> — ignature Date <br /> re�.is�a oecv.aia <br />