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GA/2G/2013 20 35 p23dG P 001/OU3 <br /> r_---'_— j <br /> � I . ELE��R{CAL PERe�I!i APPL.ICATION � <br /> I CITY OF �VER�T� PERMIT SERVIC�S I <br /> I 3200 CEQAR STREET, EVERETT, WA 9620� I . <br /> I 425-257-8610 - FAX425-257-8857—w�w.evereltwa.ory <br /> � ���� �%' � �2Z�1� <br /> �� ' � Fy�) 3D4 —iuv i <br /> ��—�'�S_�_ _1},r� ,�-0`�(�l�-�—�-��'-/��✓ /� I <br /> j PROJECTAODRESS <br /> � ��'T M J�cxt �'�i ��' /Sa'l I <br /> C;,y Pncrw <br /> � Ov�nfr . �1.a!IACdres, Sroto�tlp <br /> _ i _ <br /> Tnnart MaIIROdm:6 Ciy �— Stoto2lp °�°� � <br /> , , �'1 <br /> II � f 3l o �' __��'�G/ <br /> .�l J't L�V <br /> i �fa:tneal ConL�e;cr 6�a7l,daresc Cny Smlo2ip . Pnona <br /> � <br /> i ��-�GI.�f f I L� ,'�B oA L,E'-� — — <br /> �i Statc L��:ensa N:.mbar Contraa Pnce of Work i <br /> I S?srt �Ar�_�T��FF -- ' <br /> � Proposnd Use o(Bwitling ContpCt Person (Plan Rewew) i <br /> ISquare Footage(I;n3y�dr:nual nwv c�nstruaian, r�modal oraddiyun) I I <br /> � ! <br /> I <br /> I Num�or of dev�cva(If low vo!Ingo) I <br /> i I <br /> � Q�US'/ <br /> Doccnpaon of Work to f3e Done: ' _� � — <br /> 1 _-- - <br /> i ____ . _ __ <br /> FEE � <br /> S �c_ <br /> CITY OF EVERETT LOCAI SALES TAX CODE i:i]704 O <br /> !h�re4y toRify fhnt!huve read und exammorJ lhls appDcyGon and kn^w fhe sem� : (n�o anC <br /> cnneet. All pNvl9lons o/lows p�tl ONlOances govOriliOy this fype o!wOAr wlll b� .ietud r—� � <br /> i wlro(har spocilled horvir orncC. Tho gmcf�np ot a purm�t dops nof prasumo fo givo authcnry to PERP1� IT'r' <br /> � vioietn oi concel the provisions ol uny other sfatu or lucr�l luw mgulaGn9 conslruc(ion or thn � I <br /> parformnrlco ol c:nslruc�ion. Thnt I am uuthonzod by tha ownnr nl this piapt�ity to por+orm thu �� , �.`jL�� — I � (1 � <br /> K'ak(a which RpFI� on is made anU 1 comply w�th fhe Sfutu Contrd^(ors Luw 10�2%RCVJ and <br /> 296.200 WAC� . <br /> i <br /> � S9„ � y � �n -- � <br /> I � <br /> PoNS£D t] ' <br /> � <br /> I <br />