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,, :, � � <br />__ _.� _ .�...�.�� . ___ . �.._ � . _ __._� .��_.__ � .,_�__ �.... ._T �.�_�.�_..__� _m.! ._ <br />���� �t�ECTRr+�A� �'���I�' �,P'P�.'��AT101�. <br />' _� <br />CITY �F �VERETT P�RMt�` SER1/ICES <br />3200 CEaAR STRE,�T", �'U�RET7", WA 982Q� <br />425-257-88�0 - �AX 425-267-8&�7 —v�ww.ever�ttwa.org <br />�.� t! ��r�s' �� t +,r�,-- � (�4,,� t:�� ��v� � L✓',,�-_-- � �'� t�� <br />PROJECT AbDR�55 <br />, ��� �`t� (15J�1 � �c1'i�U �'.t"`T`'1____ <br />OWner tvia[I Addresa City 3tetelZlp Photie <br />� _. ._ <br />TenBrit Ma11 Address City State/Zlp, Pt�ona <br />�25� 7�-811.� <br />�T1V� �� ��� ��zi�' �v�ST` �� t��N+�� �� ._��' � <br />El�ctlic&I GontraCto� Ma1l Aildress Qky 5tete2ip Pftone <br />�i �VG-T`C.J��� {��.���(� '. <br />State Licensa Piumti�r (requiredj ' City'of EVefeH �uslr�ess Licens� �cjmber (requlred} <br />�P�I�T�� ��MQD��... � 3r2� •OC� <br />�=-� ��' P'€�c�"'�`°�a�e� Use o� Buildir�g � Contraet Prlc� of Wof(c � <br />� ;., �� <br />, NAZ�1 Wat ►�1 4zs-_z i8• t �r,� <br />Squara Foote88 (�f �esidentia) new cahstniaklon, remodel br addltlon} ConEa k P� "'r,sori(Cont�ct Number/Em�il <br />r � <br />Number o devlces (If low voltag�) <br />Qesctfptlon of Work tn Be D'one: �.MO� ''�"' I"���-�"*��'�C� � 4� I/�t,� .L�,�� [ ��x� <br />FEE <br />CITY OF EVERE'IT LOCAL SALES TAX COp� 15 3�It15 � Y �� <br />� . �.,.�. <br />I hsre,bY'oertify thet! fiave raad ���d ex�minerl thls app!laaBon and ktzowfhe same fo be true snd - <br />�.� ,e.___ � _�..� � <br />carrscf. A!! provlsFons of laws and ar•dirter�css govet�ting fhis type �f work wHl be co(rrplefed :---" <br />whefherspecNiec!! heraln ornot. The� yranfing of x peimlt does not ptesurCre to glve aufhorify �o PERMTT`# <br />violafe qr cancel the provlsions of any oiher state orloea/ I�w regul�ifing c�unstruct/on or tt�e �'� ' y � <br />perfnrmance of consfnrcdon. Th�t I am suthorized ;by fhe owner af thls pt�p�+rty to perform fhe E (� �(� <br />urorfc foY wh/c�t appticatian Is made and ! comply wlth tha Staf� ContraQfors Law �18,2T RC W anr� <br />286.200 WAC. � <br />r�e.,�.,�.�-�- 5' �� l� <br />� � � S gnature � � ���5aie --..� <br />1 : <br />REVISE� 08't}E.�70Y4 � � � .. . . . . .. . .... . . <br />_._.� ................_____.._..--'_ ._.....�__ ,�..�._...._._..___._ .__._.._........_ .._._..__._._.__.__..,_......-'_.�._"-'�-�" . . <br />_ .__.____�..._� + .. <br />�r`�t�C ���'£'��. _ ���r� . <br />