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J u l. 24, 2015 7: 38AM No, 0763 P. 1 <br /> EL�CYRICA�. ��RMI7' in►PPLr�A,TION <br /> CITY O� EVERETT PERIViIT S�RV'I.C�S <br /> 3200 CEDAR STREET, �V�R�TT, WA 98201 <br /> 425-257-8$10 - �AX �25-257-8857—www.everettwa.org <br /> �-t�,(7 �D"- �"'� <br /> � <br /> pROJ�C7 ADpRE <br /> �a� �l D� I�l-� ' I� ��i�'_ <br /> Owner Mall Addres CiCy 5fafe/Zfp ' Phone <br /> Teflant M&il Addr2ss Cley SlatelZlp Phone <br /> `� C/V � : Y G►�Lt�G� l 'UU �l:✓ /� � <br /> EI ct cal Conlractor Mafl Address City State/Zip Phone <br /> DU �� <br /> Stat Lfoanse Number(tequlred� Cify of EvBfett 6usines License Number(required) <br /> � <br /> ����P �/c�s� . -� � <br /> proposed Use af�uilding Conf ct P�ICe of Work � <br /> I � ' � <br /> � <br /> Square Foatage(I(residenlial new construcfion,ramodel or addition) Coh, tagt Perso / et umber/�ma���� <br /> � r �e ��, <br /> �.�� <br /> Number of devices(If Iow voltage) <br /> d��3�7y�-7� i <br /> Description of Work to Be Done: � �' I (�1 <�tAC�'� <br /> FE� ` <br /> C1TY o�'�VERE77 LOCAL SALES 7AX CODE IS 9705 , ��i <br /> I here6y certify thst!h�ve read and exam�ned thls appAeaUon and know fhe same fo be true snd <br /> correcf_ A!1 proNsions•oflsws and ordrnances goveming this type of work wlll be completed <br /> whBfh�r specified herern or noE. 1'he granfing o�Fa permlt does not presume to give authorty fo p�R�TT#k <br /> vlolate or cancel fhe prnv7slons of any otherstste or rooa/law neg�ulating constructlon or the � <br /> performance of consfrucfion rhet 1 am&uthorized by the owne►'of t�7is property Eo perform the ��j b ��I/-� <br /> work for which applrcatr'on rs msde and 1 comply wlth fhe Stafe Contractors L.aw 1$•27 RCW and / �(j� <br /> 298.200 AC. � <br /> � �� � � <br /> fgna ure �ate <br /> REvrseo osioano» <br />