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EL�CTF�iCAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425•257-8810 - FAX 425-257-8857 -www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �.a0o ToWE(L 5'CC�EE�C C�AMP��� v�c�(�<� ��;.\� <br /> PROJECT ADDRESS <br /> E�E'PE�\ coP�f^JN�\Y <br /> GoI,.�EG�c �� ZoyEVI S�. E.JE�EZT WD, ci�1�� 415-3���51 <br /> Oc;ncr tdailAddress C•,ly Slalc/Zip Phonc <br /> �►�h�c <br /> Tcndnl hlail�ddres= GI; Clole7�p Phone <br /> cJrJJFAG1n� '�K."�. kS�S\�q\Jc,V.�JI' S.S�1�CW0 Q:EtJ'�OtJ \^'A4FidS� K�j-'���•1�� <br /> -� <br /> EleClnc;il Can�r[Idof Idail�dmesv Ctly Slale�l_ip Phone <br /> cONV �L FS4�0. `'��.�'�L �6� �8� _ <br /> Sl�lc licensc Ndmb�r E t 'f}��,A� Coniracl Price ol N'aik <br /> �_��-e ti�.n,�r. oeoA,�- �g M��CS Cy1�-���-e��� <br /> Proposed Usc of�ulding Conlac�Person (Plan Review) <br /> Desai��hon ol N�ork to Bc Donc: rpL�L� �� Y�'�'�C �1Lp'1�� ��NL L ��N� O�r L�C� G� �1 V 1 <br /> E�o�Jt��e*�'� c�(�EN'� ZA��-S GR�`�C. I�N�:qc�o�. C��c� OE��CC� A^�� <br /> GA^��-F Zo '(�E("`r\*� Y��� SW`�E _ <br /> NOTE: WIRING !t�! ^!,^,�J-DWELLINGS IS REOUIRED TO FEE <br /> [3E IN RAC[WAYS. 1�4C OR AC CACiLE. <br /> C�TY OF[V[Rf_TT LOCAL SALES TAX CODE IS 3105 <br /> l hereby certil��(haf I havo mer:�nd exornined tliis applicahon and knowlhe same fo be fn�e and <br /> ronecl. All pro�isions o/Imn:anJ ordinar�ces governing this Iype ol n•ork�t�ill bo complefed <br /> whefher specilied heroin or noL The granfing o!a pmmR does nol presunie!o yive aufhority to <br /> violafe or cancel the provisions ol any olher slate or local la�v rogulafiny consfruction er fhe <br /> peAnnnance o/consfrucfron. Thaf I arn autherized by(hu owner o/this property to pedonn fhe <br /> rvo�k Inr v.�ludr applicafion is mado and I comply ni(h fhe Slafe Conlr,aclors Law 18.27 RCW and <br /> 296200 WAC. <br /> �,��� - �� � <br /> _,g,n�ur�� oa�e <br /> .Faros-ac, �� <br />