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� • <br /> ��.EC�'RV��iL PEI�IVI�T' �P�fLV�A�`���(� <br /> CITY OF EVERETT PERfV1iT SERVICE� <br /> 3200 CEDAR STREET, EVERETT, �AJA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —wvsN.everett�r✓a.org <br /> % O 3 os 7 � ���. S �� ,�—�- �oa'� <br /> PRGJECTADDRESS <br /> L✓� r�11 w ��S`� ��/o rnc, �.���.�-S 1�yr z.. <br /> Ov+ner h4adAddress CAy StatelZip phone <br /> Tenanl ��4a�lACdress Ciry StatelZip phone <br /> / '� 6 /'7'�1 r�Y/� �1.2 H�' Z/L/ G. �J7 G <br /> Elediical Conlraclor Atai dress C�ty Stal=_ilip �none <br /> Slaie License Number Contracl Price of Work <br /> Proposed Use of Building Contact Person (Plan Revie�•Q <br /> Square Foolage(If residential new conslruction, remodel or addilion) <br /> Number ol devices (If low voltage) <br /> Description of Work tu Be Done: 1�.J/ r � �� 06 �l � / ��G� ryD�� <br /> fEE � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � �D O_� <br /> I he�eGy ceRrl�Ihat I have read and examined this application and kno�•�fhe same fo be frue and <br /> coriecf. A!I piovisrons o(la�as and ordinances governing this type ol���ork�vill be complefed <br /> whetherspecilied heiein ornot The gian(ing ola permit does not presume(o give aulhonty(o PERh1IT,$ <br /> violate or cancel ihe provisions o!an y othe�s(afe or local law regulafing consfruc(ion or fhe <br /> peAormance oI cons(iucfion. That 1 am aufhonzed by fhe owner ol this propeRy lo pedoim(he E ' �-�'6 �Q " (� � <br /> wo�k for ivhich applicafion is made and i compty with fhe Slafe Conlractors La�� 18.27 RCW and <br /> 296.200 WAC. <br /> �..����� �/p/�� <br /> Signalure Da� <br />