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�� � - � � �� _ ��� ���1� <br /> �9�Y OF E\/���T`T PERMIT SER�ICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> �/� �c c�c-lc r Tc�//e'r /[t/� 7 �G'c'rt��, i,J/"l !8�CJ� <br /> PROJECT ADDRESS <br /> � <br /> �i�.s�4�-r �>s��r</I�O �//�/ �''ocG�� ��/�_.� /�✓� � ,EG'c'i'e� �� I'.�'� `��l��'� �2S- 2yrS-C�S `/ <br /> Owner' Mail Address City 5tate/Zip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> ,r'�i�he i <br /> EleCtflCal Cont�actot' Mail Address City State/Zip Phone <br /> State License Number(required) City of Everett Business License Number(required) <br /> ,`"�'s���:�c r� . <br /> Proposed Use of Building Contract Price of Work <br /> G?�6' <br /> Square Footage(If residential new construction, remodel or addition) Contact Person/Contact Number/Email <br /> Number of devices (If low voltage) <br /> Description of Work to Be Done: So.�� r�����-�:�= u���/ cti<+�<< e <br /> FEE <br /> L��� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � �� L ,� <br /> l hereby certify thaf!have read and examined this application and know the same to be true and <br /> correct. AI!provisrons oflaws and ordinances goveming this fype of work will be completed <br /> whether specified herein or not. The granting of a permit does not presume to give authority to PERMIT# <br /> violate or cancel the provisions of any ofher state or loca!law regulating construction or the <br /> performance of construction. That l am authorrzed by the owner of this property to perform the E ��/��� �' I ( �' <br /> work for which application is made and I comply with the State Contractors Law 18.27 RCW and �� <br /> 296.200 WAC. <br /> �� CL/ , c�� /�: . Z C�/S <br /> 5ignature Date <br /> REVISED 08/06/2014 <br />