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� � <br /> , — --- <br /> — — — ------ ----- <br /> � <br /> � �LECTR9Gi4L PERMIT Af��LB�A'�'�+C96� <br /> i CITY OF EVERETT PERMIT SERVICES <br /> i 32C0 CEDAR STREET, LVER[TT, U'!A 98201 <br /> 425-257-8810 - FAX 425-257-8857 -v�v�,v.everettwa.org <br /> i <br /> I <br /> i � <br /> ! �3 l o � o�ay ��� � rov ; <br /> PROJECTADDRESS j <br /> � � <br /> � . I <br /> I G..ner ",iadAdd�ess C�ty StatelZip Phone � <br /> � <br /> I L u+� �,�r� 5 +��� c ��. � <br /> Tenanl Ma�lAddress C'y Slaiemp Phone I <br /> �• C- ����5�,� EGtcT2�-e c,✓� 33z2 13Z`�' sr 5�.✓ �y,v�t/Ufw� 9���); <br /> [IedricalCont�actor t.7a�lAdQress C�ly S1atelZip Phoce �� <br /> i � c �c�G ; o�a s c �aaa, �-�- _ <br /> Stale License Number Contratl Price of Work <br /> 5��� �h � , <br /> Pioposed Use of�wld�ng Contact Persan (Plan Revier�) <br /> I <br /> ISquare Footage Qt resid�ntial nev�conshucllon, remodel or adddion) I <br /> I � <br /> i + <br /> � Numter o�dewces Qf lo:v volt�ge) I <br /> Uesr.ription ol Work lo Oe Donc: /7�U'� /U�`^J Gt (IGw�1 ,� ��L G/J'�J (� � <br /> Z - ��. r�s <br /> �_ - ; <br /> Fee � <br /> i CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 �Z J� I <br /> f hereby ceRdy fhaf 1 have read and examined Uiis appfrcaion and know fhe same fo be frue and � <br /> correcf. All provisions o//aws and ordinances goveming(his fype ol work will be compfefed <br /> whe(her specJied herein ornol. The granfing o/a pemnt Aoes nnf presume fo,rive aufhorily fo Prar�mr <br /> viulate or cancel lbe provisions o!any olherstafe oriocaf la�v regula�ing consfruc5on orlhe � �� O � _) �� <br /> pedormance olconslructron. Thaf I arn aufhorzed by fhe ou�neral this properfy fo perform the i <br /> :vork/or���hich appGcafion is made and 1 comply wrth Ihe State Conbac(ors Law 1817 RC W and � <br /> 296.200 WAC I <br /> cr,.—e �� �— Z 3 — l � I <br /> � oa�� <br />