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GCT.15.?G14 13:55 <br />q2216 ?.0��1 /�Gi <br />ELECTRICAL PERMlT APP'LICATION <br />CITY QF EVERETT PERMIT SE���ICES <br />3200 CEQAR STREET, EVERETT, WA 9E2D1 <br />425•257-t3t310 - FfJC 425-257-8857 - www.everethva.org <br />� <br />� �k..'`� � � , � U �zc ��:�ll c�! �`1 <br />PROJECT ADDRE89 <br />��� � � � <br />Uvner <br />Teaant <br />��1r��,.� S� . � <br />�2i� 5u; S� ; <br />M�II AtltlrC80 <br />Mall Atltlrrc <br />�.�. �t'r�� C��x <br />Electncal Gontrador � ldau adarnst <br />P1�� i NSc i cir. y��C- <br />Slato Licen,.: Number (requiretl) <br />� l Vv�lL. �'C/—l�./�Li� <br />Proposed Usa of Buildmg <br />Squaro Footoge (If residenti�l nnw wnstructlon, remodel or adtlition) <br />Numbcr of davicys (If low voltnpe) <br />Clly <br />(:r,y <br />ary <br />.�3 - z� z-Sr�'�= <br />D�, c�i�."' <br />Sta1rJlJp <br />s�,��rz;� <br />;r� �'�� �iz5- <br />SIOIeJZip <br />Phone <br />anone <br />pnone <br />�,3� 1 i 3 <br />City of Everett �usiness License Number (reQuiretl) <br />� Z � "?�� � <br />Conlract Prico of Work <br />cJ�'-f� NJ�n.�v :..; <br />fContnct PerSONContact Numbor/Emad <br />J��U%.:Ylf�w..;sr'�L'�.7- ��L <br />.���fV�. <br />Descriptlon n( Work lo Bn Done: '��� � �(" ) r�-�:! �'�� '�f'� •v� %�, ' �� Q, _ <br />.� l_�:;'�G-� l 1:_'�-�S —f7tY /I�JC-f-��u.l�,/ �1�4'k�7�S <br />CITY OF C-VEREIT LOCAL SALES TAX CODE IS 71G5 <br />1 hercby ceriilylhaf 1 hava roao and exumined (his applicafion antl knnv the snme to be truu and <br />corrocL Nf proWsions of laws and o�dinances goveminp fhis ty{.�e p/ itirodc �vilf bo comploted <br />whefher spdcilind ho�oin a nof. The r��onlmg ol a ponnif doos not An.�sume to give authonty to <br />wulafo or cancel fhe piovisions ot any othorstafe orincnllo�v rrgulati.�g conswction orthe <br />podominner of eansfruclion. Thaf 1 nm authvnzud by lho ownor o! fhis propeAy fo perrlorm tho <br />�vorklpr whiCh appllCofion is myde+ ttnOl Co/nply tVrth fho StafC Con�rue�ors law 18.27: iCW and <br />290.200 WAC <br />U <br />'J �'0.11 � L'G-' � �7�.(_;' `51�' 1`ti`-�5 <br />NEVISEO CHON.'Ofd <br />reF <br />�a� � <br />PERMITX <br />E I `�I� - 1 D� <br />.� � C�-� t 1 �.�'*� � <br />�'-�� <<�:-ES` <br />