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������a���. P���i�r,�������,�a�� <br />CITY OF EVERE� IT PERMIT SFRVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — w�w✓.everettwa.org <br />� �I—I 5 <br />�� 5 v9--m� <br />7_ I� s 1/; �a; n � a A�_ , Eve�e� W A <br />PROJECT ADDRE <br />/�1�ke �ob;hson E�'e�k 1�1,� <br />Ownef 1.AailAddress City State/Zip Phonc <br />Tenant <br />�.+,- rinu �_� �ec-rr �c4 <br />Eleclncal Conlractor $��v �c.e 5 <br />1.y�L, <br />�r�,oNet�152.Q 6 <br />Sfaie License Number (required) <br />� , � <br />i�C.n a� � � <br />Proposed Use of �uilding <br />A9ail Atldress <br />Mail �ddress <br />Square Foolage Q( residenlial new construclion, remodel or addilion) <br />� <br />Number of devices (II low vollage) <br />City <br />City <br />Phonc <br />Phonc <br />`i '�D <br />City of Everetl Business License Num6er (required) <br />%Q� <br />ConVact Price o� Work <br />DA���I L���s�._�3_5_fzU <br />Contact Person onlac Numbed[mail <br />Descrip(ion of Work lo Oe Done:Z�i,'i' O oo� ((�G �.'k7lzt.c.� �_5�_� 3I OU/ VCJ\C �1� n� Scu� <br />l/J� n �/� <br />_ ��i7,11\�NU 1. � � V��_�[��W�/�i/� /��iVY_V1� '__ ____. <br />`-1 —T <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hr.reby certi/ylhaf I bave mad and exontined B�is application and know �he samr. �o be (rue and <br />correcL NI provisions ollaws and orUinances goveminy Ihis fypa oln�nrk will be r.ompleled <br />v.-hclherspecilicd Ocmin ornoL (hc grmding o/a penrri( docs nol pm.surnr. (o give au(hnnty to <br />viola(c orcancel lhe piovisions o/any o(her,(ate orloca! Imv reguFrting cons6ucfion or fhc <br />pcdonn�incr. of conslnatinn. ihal 1 om aulhorized hy Ihe ownerol (his propwty (o pr,rlomr Ihe <br />�vodc (or which applir.alion is rnade and 1 cwnply wifh fhe Sfolr. Conf�acfors l.av� 18.27 RC;W and <br />29G.200 W�C. <br />--I�1-u� I���.^�� %� � / i 5 — - <br />5�9�.,,�--- — — - - — „� <br />atr u9srn nrn�r✓ro le <br />FLE - --- — <br />��0 000 <br />fPERMIIIt— -- <br />� i5D�1-0D� <br />