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�L��� I�I��IL ����I'i" �►��'�..i�A�'I�IV <br /> CITY O� �VERETT P�RtV111T SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - �AX 425-257-8557— r�.,�zv�.�,.-'-�����,,��'����.�_ t,���y' <br /> t't'L�.�� f . �l1Lv'�-�"�-t./)� � �G?Ji-f'ii�� ii2.9sstr .��J lr . �� <br /> , � <br /> �>v�-� ) �. <br /> 1 (.�"� �� !�-��,_.�. <br /> -�-- -�--.- �__.__ <br /> �ROJ�C7,4Db�tESS <br /> I �� . �., <br /> i � Fj y� +'➢ ��1F� � "�Yi � C: u� , �_ � �� i <br /> ._..__..� �.._...._.__..� . � 'l�u� ���� � �- �1 ( <br /> Qwner Mail Address '"�.."_..._____r�_.�_..Cit _ __._ <br /> Y StatclZip Phone <br /> Cfu�i;.:��'�1���L G'1r'�i <br /> ..._. j. <br /> T�nant Mall Address -�����_ CitY State/Zip Phone <br /> �f�!�-�=.t?i�=i,��;:. �L��i7=!C� Fu r��� X `���f i,�+. t�G�w���,� 1�..;�;, "I U'�' �'� ���7 5� �")2• Zc� t Z, <br /> v <br /> EleCtfical Cont�aCto� Mail Address City State/Zip Phone <br /> ���'' �: � L`- � i �^�^� L � .: <br /> � ` � � � � ,f- �li��. l•'� � <br /> State License Number(required) City af Everett Qusiness License Number(required) <br /> � �,�> <br /> (�'�(�f���'ff`��_.l'-1`� � � /V � � <br /> Proposed Use of Building Contract Price of Work <br /> t ,.a C''•`1��.��'✓j'�1*� T�C. �I�'W�JH lc�bi�i..� FU snJ t-!N l/_,i 4;'I",�1 <br /> Square Footage (If residenfial new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: C`=,S��t�.�-1L/ (-��e�,�,'7° 5�`t'v`i��L rl��''�:,:�c.�Y'�+�7'�-j•- �� L.�(,r-�7�c / <br /> — `j�.'s�}�,-� ��._��"'?,i ��i� v•�� I-�:>r,>>� �(....-- �- t s•2..�,,�ti �`�; -- <br /> � <br /> FEE <br /> CITY OF EVERE�(7' LOCAL 5ALE5 TAX CODE IS 3105 � e)�i <br /> !hereby certify that l have read and examined fhis application and know the same fo be true and <br /> �v� ✓' <br /> correct. Al!provisions of laws and ordinances governing fhis tyne of work�vill be completed <br /> whether specified herein or not. The granting of a permit does not presume fo give aufhority to PERMIT# <br /> vrolafe or cancel the provisions of any other state ar loca!ta�v regulating construction or the � e � �� � �� <br /> pertormance of construction. That l am authorized by the owner of this property to perform the � � � <br /> work for which application is made and I comply�vith fhe State Contractors Law 18.27 RCW and � <br /> 296.200 WAC. <br /> ,r f� •'k'�i`�'-'�f:= `. � � <br /> � L l� . � <br /> Signature Date <br /> rzeviseo aaioonora ��-L L -�� ���r� • , <br />