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� • <br /> �LECTF�V��L �E�.Ms�' ���fLd�A�'�C�� <br /> CITY OF EUERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, NlA 98201 <br /> 425-257-8810 - FAX �25-257-8857 - wwv�.everetiwa.org <br /> 3-a �-�� <br /> � i�aa�-+ a� <br /> io 3 � � ih � ��. �,�_��,1��. �� �a�z��r <br /> PROJECTAQDRESS l� Z�- 7�� <br /> �.I15 L��_woap /0333 /���� r�, ��es�fir wA • ���>y 8'`� yy <br /> Owner Mail Address Gty Slate/Zip Phone I <br /> Ten2n� MailAdd�ess City StalelZip Phone <br /> 3G� - <br /> %`' i wA , 9�z7� bsi �%Lw <br /> (.��J��7 ./.,C��ivl.i� LP_ l�J�Z�Z—.��/� �1I�c�/y,�✓. �cc <br /> C-IedricalConlraclor �v1a�lAddress C�ly SlatelZip Phonc <br /> [��5 i c c�� 9�� K� _— - ' �� <br /> Slate license Numbe� fontracl Price of bVork <br /> Proposed Use of f3uildiny Contacl Person (Plan Reviev�) <br /> Square Footage (If residenliaf nevi conslruclien, remodel or addition) <br /> Number of devices (II lovi vol�age) <br /> I)escnp�ion of Work �o [3e Uone: f�'�l� W CG�_�_�����-�-`"��-._!?-vU'-..`� U't� �r 2G�,.-�T -- <br /> FE[ — -- - - <br /> ���ji� <br /> CITY OF EVERETT LOCAL SAL[5 TAX CODE IS 3105 <br /> 1 hereby r.ertily Ihaf I have read and r,xamined(lris applic�lion and Hnow fhr, ;amc!o br, hur. and - . -__ _.-- - -- <br /> — ---. <br /> r.nrrecf. All provisiorrs of lar�s and ordinances�oveming fhis(ypr. o/woik will be complefe� <br /> ------��----�- - --- <br /> �,vhefhr.r specihed fiercin ornoC The 9�anting ol a perrnif daes nof prasume to givr, au(hority fo P6RMIT8 <br /> vmin(e o�canr.el Ihe provisions ol any othcr slalr, or local law regulafing consfruclion or fhe C (C{�,J � I �� 7 <br /> pe�lorrnance ol cons(�uc(ion. Thal l arn aullu��izr,J hy!he owr„�r of lhis p�operty lo peAonn Ihe L <br /> r�ork/o�v�hiclr applicafion is niadc and I cornply�r,ilh(he Stalc Conliacfors(a�v 18.27 RGN/and __ ______ _ <br /> 296.200 WAG. <br /> � - z.�_- �_y_ - - -- -- - <br /> - - --- -- -_ <br /> ----- SiynaWrc -� Daic <br />