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- ---- i <br /> -- ----- - - --� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9820' � �a�'r <br /> 425•257-8810 • FAX 425-257•8857 -www evarettwa org 4 I <br /> � C I�(C6--D l 1 <br /> �I�� INP�'� ('fa��Y�I�J��C%r _ <br /> PROJECTADDRESS <br /> =��� ui�� � ��c���l�� � 1� ��(��tr� G� ??(.�Y�_ <br /> Owner Mai�AAOress Ciry SteterLiD t>honc ' <br /> �1�r�� ��t�� v���r=►- �� ����r-�l �t(�� �'l �.�1 �;� ' �� � <br /> Tenanl Man AtlErCss Gry Sialc.2ip pry�M <br /> -� <br /> f���� ra i ����� ���'� �� ,��.��11 �u9 ��t� <br /> EICCinCel COOIr�c10r Matl AdOrcaf Ply $IaICJZip Fhone <br /> I��Y�'1'�(%I�1`�GJ,�'k- ��J_l,�_--_— <br /> State I.�ccnac Number Contract Pn�of Work <br /> �lE?11�1S;L� ���.���'�i�'��1 <br /> Proposetl Use ol�udtlmq Co�inct Person �Plan qev�ew� <br /> IVY, <br /> Saunre Footage pf resiCerual new conslrudion. remoAei or ndOAion) <br /> 1 � <br /> N�,.n��r ol Aev�ces 111 qw vcllagr.) <br /> Uescn[�I�on ol Wark lude Done I �L�� ___.l��.1J�till--l-.��v�.�_— _ <br /> __. _ I <br /> FI:E <br /> CiTY OF EVERETT LOCAL SqLES TAx CODE IS J705 �'l O� � I� <br /> I hernhy coiGly th;�f/havc rCad nrrd e r,nnined tlns n�;phr,nhnn nntl knnw Ihp sxme fo hN bue anA (/ <br /> c0uecl NI pmnsions n/lnws and ordnrdnce�gnvernniy Ih�:;!Ype ol wn�wdl he r.�nnplClyd - -- — <br /> v.hr,lOrr spnr.dmd herern rn na! Ihq gmnbny ol n prnnil rinos nnr pmsume fn yivr dulnon(�lu P[RMRk <br /> v�npife or cencel Ihe pmwsions ol:iny ulhe�:;fnM or�ocnl lnw mgu�alrny r,o���,fnuA��rn ur I��rt <br /> p�rlrrrrndnrr nlCon^frur.hnr� Ihn!1 qqi nulhnntrd hy fhn nwner nl flus prig�m}y 1���p��dnnn Nre E / �O S— ��� <br /> work Lrr wbiCh npp6fnhnn rs nbidn�nA I cunq�ly wdh llrr Slnln Cu�rtrnc(r,rs i.Nr+ IH 77 RCW und � <br /> :pczonwnG - — <br /> � � 7 ,� � <br /> --�=,���;�': �:._�- _ �r -������t - --- ���fe �n�d�r�, � <br /> i. Iln� ��/N/Gl V� l / '��' I <br /> I <br /> .NtiFD ln✓;1 <br /> m <br /> ._—. .___ ._ _ <br /> .. _ _ _.�. ' -_..._ . . __ —_.. � <br /> 1 <br /> �� � �� ���.� /��l �� � <br />