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� � <br /> ��.���'RD�e4� PE�f1�B�' �i(�"I��,n�/a`�n�6�1 <br /> CITY OF EVERETT PERMI�' �ERVI(:ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 4::5-257-8810 - FAX 425-257-8857 -www.evereltwa.org <br /> y/ �� SG�J /D0�'�fi: � 90 <br /> PROJECTADDRESS <br /> �Q�i-�,�-� �6n.�a � �v�xr-� �,�� �I�1,1� <br /> Owner MaJAddress Ciiy S�ate/Zin Phone <br /> ienanl MadACdrese C�ly Slale2�p Phone <br /> ,�EoS�Q,eKy�Nc. i�zo- 9��' � ,��✓ ��7r <br /> EleclricalCoNraclor MailAddress aty Sia�e2�p Phone <br /> �sPZ� 9�a �o _ Psa,.`�" — <br /> Stale Licens�Number Conlract Prite ol WoiN <br /> Propnsed Use of BuikJing Conlact Person (Plan Heview) <br /> Square Foolage p(residenlial new conslrudion,remodel oi addilion) <br /> Number of devices(II low voltage) <br /> Descriplion of Work ta Be Do�: C/"�-✓"�� �V a���� /,`��E2 aQl� , <br /> r, <br /> rO,4/IQ_ <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7705 �� 0� <br /> I here6y certdy Ihaf I Aave read and examined Ihis applicafion�nd know fhe same fo be liue and � <br /> correcf. All provisions o//aws and ordinances goveming fhis tyae olwork wAl6e compleled <br /> whelherspecihed heiein ornof. The granling ol a permil dces nof piesume fo give authonty fo PERM(Ttt <br /> violafe orcancel fhe p�ovisions ol a of6er sfa! oilocallaw�e9ulafing consfrucfion orlhe I � O� I iy O <br /> pedormence o/conslrucfion. Thet I aufhon� d by Uie owner ol fhis properiy(o peAarm Ihe E � � <br /> work/or whic applicelion is made campl ifh fhe Sfafe ConVacfors Law 1B,27 RCW end <br />� 796.200 WA <br /> �/�,�'�� <br /> Si mn —_.f)a1C _. <br />