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� <br />� <br />�8.����RV��4V� P��I�IY`�' ��'(��,V���i'1I�6�N <br />CITY OF EVERETT PERIViIT SERVICES <br />3200 CEDAI� STREET, EV6RETT, WA 98201 '� v�y <br />425-257-8870 - FAX 425-257-8857 - tivvnv evere�twa org �-� � <br />�1�107�0 <br />_�S� -7 �ec��u✓st UL <br />PROJECTADDRESS <br />Ov;ner <br />Tenant <br />.If� 'I�V12.u._� <br />Elecliical CoNractor <br />-�s i % <br />Addte ,s <br />G1a�1 Adtlrnss <br />t,ta�l nddress <br />_I�dc������ <br />Stale Lv,ense DJumbcr <br />1-in i i Sr <br />Proposed Use of f3inlding <br />Square Faoiage (I� residenlial new construc�ion, remodel nr addilion) <br />Nmebero�dr.vices (illor+vol�age) <br />City <br />Gty <br />Cily <br />Slate2ip <br />Sld!CIZip <br />.�- � � - <br />Phonc � i-l� <br />lJ <br />Phonc <br />� 7C � 7 n <br />Phunc <br />���-- - <br />Conliad Pricr. oI Woik <br />Con�acl Pe�son (Plan Revir,ci) <br />Desaiption al Woik ta Be Done: _.�G1,f"l:�l- -[�_ �I U Yl�'{�.�.� ri,L��G°�C� ._CI 'L�C" �?.� <br />� �-�- -=- --J - -- r <br />CITY OP EVERE-TT LOCAL SALES TAX C00815 3105 <br />1 hcroby ccrfJy (hal I havc reaJ and eramined f6i � applic.�lion ond Iwow fhe same !o be lnie and <br />cnriecf. All piovrsinns ol laws and ordunvir.es gnvrmin� Ihi� fype ol work vnU be cnmple7r.d <br />whefhr.rsp�alicJ/icmin or nol. Ihc gianling ol �v pemiif dar.s nof prr,sumclo �ivr. aulhontyl� <br />violale or cancel Ihe /novisions ol any o(her slale orlocal L�ve icqulaliny conslrudion or (He <br />perform��nce ol conslruUion. Thaf I arn au(honzed by Ihr, nwne� ollhis p�opeity la pr.r(oun Nrn <br />wcrl� lor w0ir,h ,,��n�, n��� �.5,�„v� and I r.wnply �wlh lhr. Sfalr, Con6,�r.ln�s 1 arv 18.27 RCV✓nnd <br />296 700 WAC. <br />- -l�%�� ��-�- - - ?�/���/1 � - - _ _ <br />f[f. <br />�s J� <br />PI-Rh1I-I 17 <br />E � 4��--o BU <br />- --- -- I <br />i -3 <br />