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� - <br />ELECTF�ICAL PERIVdIT APPLICAYIO(�J <br />CITI' OF EVER�TT PERMIT SEl2VICES <br />3200 CEDAR STREET, EVER[TT, Wi, 98201 <br />425-257-8810 - FAX 425-257-885? — wwvi everettwa.org <br />� sf�+�,4 �i7' �:��� Sc ��<� ,—r <br />PkOJECT ADDRESS <br />i �6 6�� b'OL"_�hvc_ N�_�fs:.11e <br />G��s__ s�� ��, <br />G:�not Lta�.l i.Ctl�ess <br />`I Cnef�I <br />�Aaii Addiess <br />� �Y <br />Orl^�2 — <br />Neciriea� Go^�iraetor r:t� � Aadress �'�'� <br />SIa!e L�cense PJumb-.r (iequired) <br />c>iuposed Use of Buildmg <br />y z5 <br />Y✓a 96'z� 2.?S 469�! <br />g,,.n�j.p PhCne �I <br />$IdiC�Z�p <br />SlatelZip <br />Phone <br />Phone <br />Gty of Everett Bcsiness License Nuniber (requued) <br />Contracl Price o( Work <br />Squaie Footage (If res�tlential nevr constructien. remodel oi addihon) Contact PersoNContatl NumbedEmail <br />r;um�er of devices QI low voltage'� <br />��estt�plion of Work to Be Donr.� _ �P��r�n'i[d-r_.__ Qf ...�LC_�T1�''� ��r���'— - ---- �-" - — <br />--��v�._ c�-�ls�__.lp ��t+��.- — _ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily fhat 1 huv' re:�d and exnnv,�ed Ihis application and kno;v fh�: sanre to be lrue nnd <br />correct 1111 pro�isions ol lar+s 3nU ordmances goveming Ihis fype o(�:�ork �vdl be conipleted <br />r.hefher specified herein ornot The granhng o( a pennd does nof presunre lo gne authonty to <br />wolafe o� r,ancel fhe provisions ol any otlte� state or local laiv regidating consinicbon or fhe <br />p�rAam7ance o� const�uctia�. That I am authonzed by the oivner o/ fh�s properiy to pPAomi fhe <br />�.�o�k Ior which apU6calion is made and 1 comply with the Sfate Conlractors Law 18.27 RC W and <br />296 200 VVAC. i <br />FEE -- <br />�5°� <br />I�---�----- -- <br />PERh1[T�t <br />E I�D�-b�% <br />� e��.,=cr�oees.on . — -.- _. <br />--�� -- ---- -- <br />'� '�-- �-- —� --- - - � --- �� ------- - <br />