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f------ -- - • - <br /> �' ELECT�ICAL PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 47_5-257-8&57 —v�nvw.everettwa.org <br /> J��IS �I- �a5l� � �� <br /> PROJECT ADDRESS �/�S <br /> ��C�S ��ii sS� ��u,c P s .L� � 'a��1 <br /> , �-C��� <br /> Owner H1a�lAddress Qly Slate2p Phone <br /> �c /.�� /o�� 9��" G�a�� <br /> Tenant (JlailAddress Cily Slalcll.ip Phone <br /> —� - �/,C� S � �e��s 9��5� �3� <br /> EI2d�iCdlCo Clo� fdail�ddr s Cily Slatcll�p Phonc <br /> lr/ �` � ; v�! �O .� � � OZWV <br /> Sla�e�C¢ense wnber(reqwred) Gly ol Everel113usiness License Number (required) <br /> Proposed Us�3w��� Contrac( Pnce o(VJoiM <br /> Square Povtage(I eside�I nevr conslruct�on, iemodel or addilion) Contact PeisonlContacl NumhedEmail <br /> Number ol�ices Qf low volla�e) <br /> Description oI Work�o Be Done�. ._��G� ��17���V�--------- - <br /> FE1-- - - — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 I 5 O� <br /> I herr.Ly certd}�fh:�f I have�c��d and ex,�mmed Ihrs,pplir.afior ,�nd kno�v Ihr.samc t�be hue and ---- -- - <br /> r.nnecf 1111 provisrons ollnvds and nrdmanr.as ynvem�nglhis tyn^ol work�vill hr. cornpleled ----- -- — - <br /> ahr.lher specil�ed lierem or nof llie granhng ol n pertnil does no(presume to groc nufho�ify fo I pERl�lfff! <br /> v�olalc or r.anccllhr, provisirn�s o/any ofhcr sta�o or bcal law regulating consliur.(�on nr fhc I E g� 5 0 � �_ O�-� <br /> perlorrnanceolconslmr,fion. Ihallemaufhoriiedbyfhco�vncrol(hfspmpmlylopcAnnnthr. � <br /> work lor �vhich r�ppl�cal�on is rnarle and 1 r.ompfy�ti-dh(he Stafe Confr,�clors L�v�� 18.77 RGW and ---.--. ,- .. _ <br /> 29G200 WAC <br /> -- �_ V ,o����� �a��/����S_ _ <br /> Signalurc <br /> RE195EUOBIOLROIC <br />