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� � <br /> ��,�c-�-���,�� P��n��� ����o��,�u�� <br /> CITY OF EVERETT PERMiT SERi/i��� <br /> 3200 CEDAR STREET, EVERETT, WA 98?_01 <br /> 425-7_57-8810 - FAX 425-257-8857 —www.everettwa.org � <br /> � .-a�t-�4 <br /> � ►�o6 ..,u7 <br /> lO 36 ,s' ,7 r� %��. S r' <br /> PROJECTADDRESS <br /> /"} G G G� r � /�t7/7�1� G� <br /> Ownet Mail�ddress City Slate/Zip Phone <br /> Tenanl MailAddress City Slale/Zip Phonc <br /> �OYThGY /rl '° �� f—+�I�SG• �� C•, <br /> Eleclrical Conlraclor � Add�ess C�ly State/Zip Phone <br /> Slale License Number Coniract Price o(Work <br /> Proposed Use of Buiiding Contacl Peison (Plan RevievQ <br /> Square Foolage Qf residen�ial nevi conslructioq remodel or addition) <br /> Number o(devices(II low vollagc) <br /> ! i �,pp �/� <br /> Oescription o!Woik to Be Donc: > e-� Tx� /—`� L`J 'P y �G t; � � /Qr+^� _ <br /> — � <br /> FE[ <br /> CITY OF[VERETT LOCAL SALES TAX CODE IS 7105 / D OO <br /> v7 <br /> / <br /> 1 hereby ceiGFj fha�I hav�iead and examined Ihis application and know(he s�me ta he liue and <br /> correcf. �II provisions ollaws and orJinances governing fhis(ype of work will be r.ompleled <br /> vihciherspec�lied hwcrn or noL The 9ran(ing o/a permit does nof presume(o give aidhority lo pEf2MCfti <br /> violateorcancelfheprovisionsolanyofhrrslafeorlocallawrr,gula(inyconsfruc(ionorfhe �� ' � 0� r � _ / � <br /> perlormance o/conslrucfion. That I am aufhonred 6y fhe owner of fhis prope�lylo perlorm(he �� <br /> v�o�k for which applica6on is madr, and 1 comply with lhe Sfa(c Conhac(ors Law iQ.27 RCW and _ <br /> 29G.200 WAC. <br /> -;������ -� -d�_/�-- <br /> . ignalure Uale <br />