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/ v`�i <br /> � A RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8610 - FAX 425-257-8857 -www.everettwa.org �� �a�.a � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM M /a�� -OS� <br /> a�� Rc� .�'�� ,[��X Que -- <br /> PROJECT ADDRESS <br /> TmCo�,�ri- I �ol P�c�'Cc,�,fPe,� 0.,.,e ,��e +-ext W� R�ac� � <br /> Ownef Mad AdtlressV Ciry Slale2ip Phone <br /> Tenant MaJ Address City Slate2ip Phone <br /> - ,�, � � � I�e ��a 6�m-e t'� SF_� �� � 9�a a��v��� <br /> Electncal Contreclor Mail Address Ciry SlatelZip P�one <br /> D�SCv�.vN �`6�-t►`�'lu ���• 00 <br /> Stale License Number Contraci Pnce of Work <br /> Proposed Use of Building Conlad Person (Plan Review) <br /> Square Footage(I(residentiai new construction, remodel or addition) <br /> Description of Work to Be Done �e,l� Y \C._. �.�('���_}-�}-c�_I�__�� '�C�_.�J' <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE �� <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> 1 hereby cehi(y fhaf 1 frave read and examined fhis apphca(ion and know Ihe s�me fo Gc frue and <br /> cormct. 411 pruvisions ollaws and ordinances govemmy(hrs fype o/work wdl be complefed � <br /> whether speci�ed he/em or nof. The gnn(in�ol a pennrt docs nof presumc fo pivc aulhonty fo <br /> violafe or cancel the prnvisions ol any other sfale or local law mgulating consfrirction or fhe <br /> peAonnance o/const�ucbun. That 1 arn�ufhonzed by Ihe ownor o/ffris/��perty fn peAomi fhe /� A �� �O <br /> work lor which ap IicaGon is made and 1 cornply wifb fhe Slale Confraclors Law ]8.27 RCW and /U� I Z- <br /> 296.200 WAC. <br /> �_����' � 7 � s_(. � 2� <br /> SignaWre Datc <br /> . ._-____�__.__'___.-- _ ._ —______— _—I <br />