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• � <br />__ _ ����'��`�...._.__.�_. w.__ �T— ._._.�� :�_ _.� ���`���'�..> �M .o.. .�- e �._�y: _. M._ N�.__ _—�--.-.----______ _ __. ., � <br />� E�.��TRI!�AL. PEI����' �►P�LI��A;TION <br />;�-� CtTlf QF EVERE'CT` P�RMIi` SER'�►'IC.ES <br />320U GEDAR STRE�T, �VEf�TT, �lVP� 9820�1 <br />425-257-8810 ; - FAX 425-257-8�7 - www.everettvva.org ' <br />_�.� � �t.�1 ��'� .���� :��g ��-fi�.�� � �--.e�c��'! �i'�`� �r.���� <br />PROJEGT ADDRESS <br />��f�F�,r -�r� !� SIn.J �; Atl'f�t(a 6�t"`r`'i <br />Owner Mafl Address Clty 5tete/Ztp Phone ' <br />�qh�n� � � Mall Address Clly ' StafelZf� � Phonp <br />�z5-;°�-81I_q <br />��'1V� "�1C�( , 2aD��'�'1� i... �1�1�� _.�_W.�'_���. <br />Electrical`:C3ofltractor MaitAddBss C1ty StateJiFp Ritone <br />�TIV��'��'NL.S C}2b2�'$' <br />State Liaense Number �requiredj City of Everett Bys►ttess Ucer�se Number (requlrec� <br />�� -� �j � ��� . <br />�C� <br />�� Pro��oe e� Use of�Buildir�g� �� ��Contract Prlcaof WoKk <br />` hlp�T�At� WAL� � y2S-zi8• ! 7t�} <br />Square Faotage (If residentia( new const"r�'ctlon, remodel or addftlon} C3o�r�act Person(Contact Number/Ema11 <br />�n <br />Number o devices (If (ow voltage) <br />Desariplion of Work ta Be Done: _�L1"�V �'� �`l"1��� {� i'`v�it�t�, ��'1�L.�L �x� <br />�EE � <br />CITY OF EVERE�'T LOCAL SALES TAX CODE IS 3105 ��� Q� <br />""Y her�by'"certlfy�fhaf �I�heve read�afid e�tamirred-thls appllcafion and k�our Ihe ssme to pe frue��and <br />carrec� A�/ pmvfs(ons ottaws and ardinances gaverr�fng tttis type af wortc w11! 8e cotnpiefed <br />whefher spect�ed her�ln ornot. 77ie granting of a pemrft dpas not presu�ne to g/ve eutj�ority �a PERMIT# � <br />vic�lafe o�oaneel thg provislons of any ofi�erst�tta ar(ac�J I�tw reguJatTng construciton or the / <br />perfurm�nce of construaUon. �Prt�t l am authodz�d by fhe owtzer�i thls pr�perty b perfonn Ifie E�? �"J D�j" �%�"'� �Q <br />woiir fc�rwhlch appticativn Is m�de and 1 corrrply wfth the State Coniractors Law 98,27 f2GW �ntl <br />298.200 btlAE: � <br />� �� s <br />5-��-ES <br />REVlSED OBrG9l20f4 <br />�._...J......_ _. <br />� <br />, <br />_..._.� ._ _.. _.. . _... F _ _..__ <br />�%�1 L�/I� ' <br />