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! <br /> ELE�TRI�AL PER�II�T qppLICATI�N <br /> CITY OF EVERETT PERMIT SERVICES I� <br /> 3200 CEpA}q STRL-ET, EyFRFn WA 98201 <br /> 425-25T-S810 - F/�(425-257-8857-www.everettwa.� <br /> o � i��, s� ���- 3� <br /> PR0.IECT ADD►2�SS ' <br /> 1�-C S:� tw= lYtiill,yv-t <br /> S c�c`i-�-�e �c���z � 5 J.� fv�� <br /> Oimer �u�� j�e'� Gj'jC�y u���95��FcD II <br /> RM1nil liddre,vs C�f' <br /> st�trllp Ptwne I <br /> Tenant Mail Atld�os_•, <br /> Ciry Slate2p <br /> p Phane <br /> f et'"i�U Kl�zcr-rr�'i,-.c_ otS�( it(�bF /n�l1C'f`��c <br /> � �c�� M��� � w� 9�0�2 u,�i 3��s3 <br /> Stst�p Pltonc <br /> �e�� se; q3q .u-F <br /> �ate��a'�se Number <br /> �°rd��d Pri�c af Wartc <br /> -� - <br /> Fmposetl Use of Building ' <br /> Contaet Porson (Plan Revisw) <br /> Square Footage pFmsidenGa!�ecwconshucUon.remodei or addiLon) <br /> Numher of devices(I;lo�v volhage) <br /> OrscripSion of Work to Be D.�nc ,��'�l Q�d �\ <br /> FEE <br /> CITY OF EVERETT LOCAL SqLES TAX CODE IS 3105 �O � <br /> !h�2Ly cvrtify fhat!have reaU and axeminedlhfs appliCaGan and/pww Ure sarny(p be ln�c nnd <br /> crorrerl_ A!1 provedans otlm�a arrd orduFarrcc;[Mvemfn9�s IYP�ol wadc xn�tro campfelad <br /> �+'he�hor�p�ed fmiein or noL 7Re prriRry-Rq�(a po��doe5 not presumn 10 pim autt�on7 lo <br /> violate orcancel tlie provisions ofany othorsfab orlocallaw regulating conslractfon ortAeY r�� f, <br /> p^AoRnenr.e ofcbnstructlon. Thot 1 om authonzed Gy U�e oimerofthis pmporty(o pcAorm!he E ( I-�- l 2 — D r-J- V <br /> woffc for w Ich appfir Non is m�do and f cornply wrlh tho Sfnte Confraclvrs Ca�v 182T RCW anU � <br /> �� c � la � I <br /> �^natum - � � <br /> U Oale <br /> M:vRzn vxvn <br /> £ � 9VLLL££SZU ou� ou)oa13 uwa.{ �L£ lU t�l 80�e0 <br />