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� <br />� <br />u <br />�8�,���'F�V�pIL P��IVI9T' ,�P��.9��,liA��l <br />�s � � S�E� <br />PROJECTADDRESS <br />l27 <br />o�:��� <br />�/� Z�12 <br />Tenant <br />CITY OF EVERETT PER�JiIi SERVICES <br />3200 CEDAR STR�ET, f_V[RETT, NlA 98201 <br />425-257-8810 - FAX 425-257-8857 -:�r,^nv everettv�a org <br />j «« <br />���� 1�.,� �N�- <br />Atad AEdress <br />.� � Sb+cc'� <br />Idad Addre55 <br />CAy <br />� �a4 �-�� <br />C �4a6�iuz <br />�Wa �Bli�S <br />StateiZ�p Phcne <br />�vcrct� �"�� `1�02 <br />Cdy <br />Slate2p P�one <br />S�wr-1•�� Cl«-1t'�T...� \B�ioS A�.�or�, ri.,` n% l-t-�lt S�or�l`.,� l..)� `t� �3�— <br />Eledri[alContraclor h-iadAddress C�ty Stalc2-p Pnonc <br />SNoP,CG�-qS3F"'1G _�L��o� _ <br />Slale �¢ense Number Conlrad PnCe of bVoik <br />Q+.,�� � 1,`n U�:�' — <br />Pwposed Use ot [3�ild g <br />Square Footage�residenlial new conslruclion, remoAel or addiGon) <br />Numberofde ices(Ifl� ov+vo11a9e) <br />Cn�: y (.2oC.) `a I�—�`i l <br />Contact Person (Plan Review) <br />Oescript�on of Work lo De �one: `��,'��1( O�nG�S w O� � <br />�Y1_fY� �.c_rv;��c _G.�� G�'•r�--_C-� L��L`-�� <br />�) �— <br />CITY OF EVERETT LOCAL SALES TAX C0�[ IS 9105 <br />1 hereby certify fha� I havc read and eramined this applicafion and knor� fhe same fo 6e frue and <br />correct. All provisions o/ la�vs and ordinances goveming Ihis type o/ �vork will be compfe(ed <br />r�hetherspecilied herein ornoL The granfing ol a pemiit does not presume (o givc authonty to <br />violate orcancel (he provisions ol any othcr slale oNocallaw regula(ing consWcfion or the <br />peAo�mance ol cansfmclion. Thaf I am aufhanzed by the owner o/Ihis properly (o pedoim (he <br />r:orrt for ivhich application is made and I compty �vifh the Sfate Conlracfors La�v 18.27 RCW and <br />29G.200 WAC. <br />��� <br />F[E � <br />.� � b� <br />P[RMff y <br />E 1 `F��- i �v <br />