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��.�c�r�i���. ����i� ����.��A���� <br /> CITY OF EV�R�TT P�RMI�i" ��RVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8357 -wv✓w.everetfwa.org � `a 3 ,�� <br /> C_ �so9�l70 <br /> �Z,� /�t� �,^Pc�'f �✓e�^e� u� � '� <br /> PROJECT ADDEESS <br /> �J/ _/�__ Ev�'��7f t�//{ <br /> Owner MailAddress City �.ileielZip Phone <br /> Tenant MailAddress City State2ip Phone <br /> �� ✓�'i l�ct_-/� �.(� f�2 r-�-.' <br /> EleCtricalContractof MailAd ss City State2ip Phone <br /> � ��3 6 5 q <br /> Stale License Number(required) City of Everett Business License Number(required) <br /> � -�<�� --- <br /> Proposed Use of F3uilding Coniract Price of Work <br /> Square Footage(If residential new construction, remodel or addilion) Contact PersonlContacl Number/Lrnail <br /> Num6er of devices (I(low voltage) <br /> Descriplion of Work to ee Done: _�g}y�p �A,�'�✓]��,� 7��V �J�1���-L--l�/` <br /> FEE <br /> (.� �. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 /�,b � � , � <br /> �.� <br /> I hereby cedi/y that I have rcad and r,xamined this applica(ron and know thc same(o be(rue and _ _ —_.. <br /> r.nrrecl. /111 provisions otlraws and ortlinances yoveming Ihis type ol wnrk will be comp/efed ---�----�------- <br /> vihetherspeci�ed hem,in or nof. Thc�ranfing ol a permit don,s nof presumc lo yive au(honly to P[RMiT/i <br /> violale orcancel fhe provisions o/any olhersfafe orlocallav�regulafing consln�cfion or(hr, r ��O/,� l I/� O <br /> perlormance o(consLa�clion. That I am authoiized by(he owner oIlhis property lo peAonn!he C � I � <br /> wnrk lor whir.h applicafion is madc�ind 1 campty wifh Ihe S(afr. Confracfors Law 18.27 RCW and _________ <br /> 296.200 WAC. <br /> --��,'�'—��-`��i's�,.-C �,��='`--���-1 S <br /> iraicrn anofiama <br />