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� <br />l.J <br />ELECTRICAL P�RMIT ppf��YCA�'�df� <br />CITY OF EVFRETT PERMIT SERVICES <br />3200 C[DAR STREFT, [VL=RFTT, 1"!A 98201 <br />47_5-257-88 i 0 - FAX 425-257-8857 - v,,rnv everettwa.org <br />a �� ��� � <br />PROJECT ADDRESS <br />L� _�(�-Iu <br />� � 40U-il�� <br />�Y� —�,.�5 � Z3� lo ����/lU�/ Or G�v�� (�i�i h� <br />Ot'mef� •,ia�lACtlress —�Gry Sta;e2�p Phcn,� <br />Tenant <br />[ledncal <br />tAa�� Acdress <br />Ida�l Address <br />j t�l dro' � S2��C�----- <br />Slate L¢en5e Numb�r <br />Prcpased Use of Bwl;ling <br />Square footage pf revdenllal new c���struction, remodel or adddion) <br />CAy <br />Cuy <br />Stale2p <br />SIa1B!Zip <br />� � „�,.�1 c97 <br />+���1 <br />corr, U P ice or bYoia <br />Conlad Person (Pian Rev�evi) <br />Fhane <br />Phor,c <br />Number of devices (II low vollare) p <br />Descnption of �Vork to Be Done. �j��;(��� _1d�.. �N� +�1�`G�� ���`� 1— — <br />u <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I he�eby r.eRdy fhat I have �ead and examined fhis application and knor� Uie same lo be fiue and <br />conecL Flll provisions ollams and mdinances governing Ihis fype ol work �rdl be compfefed <br />�vhefhcr speci6ed he�ein ornoL The granling ol a pennif does nof presume !o give au(hority to <br />violafe or cancel the p�ovisions ol any other slafe orlocallaw regulating construction or Ihe <br />perfomiance olconstn�ction. Tha! I am aufhonzed by the o�rner o! this properiy lo perform fhe <br />�vork lor �vhich app6cafion is made �nd! comply wath Ihc Sfafc Confiaclors Law 18.27 RGW and <br />796. 200 WAC. <br />F[E <br />.�� o; <br />PERMR�� <br />E��D�i-ll� <br />