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� <br />Ap r. 10. 2015 1: 09PM <br />No.1450 P, 1 <br />�L�CT�iGAL PER110aIT A►PPLl�ATiON <br />C1TY QF EVERLTT P�RMfT SERV�CES <br />320� C�DAR STR��T, �VERETT, WA 98201 <br />425-257-8$10 - FAX 425-257-8857 - www.everattwa.org <br />��C�2� �G��LL� .�-�,� . <br />��2� L�r�'I��l� � �—%/��: <br />PROJ ECT AbpRESS <br />S1 <br />N� �-��M �S� C�dvNry A/L 3c>2d/ L��na��2,D %� �� �� <br />Owft@T M311 Acfdress City <br />/�a.���,C' % <br />Te��nt <br />Etectncaf Contractor <br />%S'�/a ���i��✓ <br />Mai1 qd�iress <br />_..��: , <br />Mail Adci�ess <br />,��%�R S.l� / � % ��� C� � <br />State �icer�se t�Jumber (required) <br />proposed Use of Building <br />Square �ootaga (If resfdenlial newconstruction, remadel or addition) <br />��J �1%�,��F S/�I � � AQ /W�=. y- <br />Number of devices (ff loW vollage) <br />pescription of Work to Be bone: <br />t>,�' �l ��' <br />City <br />C(ty <br />�ZS".- �� f/ ��r� 1 �� <br />'lT Gv/� ��2G° `% <br />Stata/'Llp <br />Pl�one <br />Stafo/Z!p Photle <br />^ ZS � - �{oS = / �G�,=� <br />State/Zip Rhono <br />2 l / <br />City of Evereti Dusiness License Number (required) <br />-�---� �� � `, <br />Conlraci Price of Work � <br />��I"1/✓ \ 1 � V �l�„f Ul.. �1 C��/`��L� ,) ���r l.�/� <br />Contact PersonlContact Number/Emell <br />�� �o ��J ;�,� t� <br />CITY O� EVERETT LOCA� BALES TAX COI]E f5 3105 <br />.s S ��� n/ � D D, <br />= f� //\% �� �l 8 //�%�. % <br />� <br />1 herehy cerlffy fhat l llave r�sad and exemined this appllcef/on and know fhe same fo ba true and <br />correct. A�! provisions of lews and ordlnences goveming lhls fype of work Wil! be compleEed <br />witeflrer spBcired f�erefn Or not. Tl�e granting of a�ermrf does nol �resume to g;ve 8uthonly to <br />vlolate or esqcel flle provisions of any ofHe� sta(e orlocal la yy ��gule!!ng constR�ctle�l or the <br />performance of conslrr�ctlon. 7'hat / airt eulhonzec/ by tf�e oWRer af ll�ls property fo perform tl�e <br />work for vvhich applicatJon /s mada and l comply wiih the S(ate Contractors l.&i,v 18.27 RCW and <br />2�36.200 WAC. -- -- -- <br />k�'v,seo oen�araoi4 <br />FEE <br />'� �5.�0 <br />PEF�MIT# <br />E� '� 50� — ',�� <br />