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{ • _ <br /> � <br /> � ELECTRtCAL PERM"T APPLiCqT10N � <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 32a0 CEDAR STREEI', EVF��. Wq 9820� � <br /> 425-257-8810 - FAX425-257-885"T—www.eve2gw�_�3 <br /> j � 3 �� ���� ��� 5� <br /> � PROJECTApDRESS <br /> +� n „ 1 d-u �� �.,� �r'h�/�..�� <br /> S c_c,�-4�c. 'cl�'=�� S v.1� <br /> am�� lC1� �uz�z-l-f- vi�- QFdn�( ���9i3�Pvc� � <br /> A;ail FEarc^� C� ' <br /> S7atelLp Y�,�onc <br /> Tenan h1a;1 AJdresy <br /> C�y StatrlLp <br /> L., P�one <br /> r P�^!�J t_'(2c f;r�'n^� <br /> I €aoar+cai�c•r,�or M�°�� �Zi 6$ m�l��]`e c�c �� 4�a cF2 U,I 1 33 7 53�� <br /> SL�IPILP Pfuno <br /> � ��2.�!' C'; �3c� lJ� <br /> SN+te Lloense Number <br /> Cor,traty prirx a(M/ai} <br /> Propos_d Us= of BuilCing <br /> Conbct Person (Ptan Revfea) <br /> � <br /> Square Footage�(�es�der�Cal reewoorestr��n. tenadclot a�c7�tiai) � <br /> tJumber of de�4ces;If Icw voftage� <br /> D^saiption of Work to Be Danc: 1 \��'� �CI � . <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 /� <br /> l here6y corllfy thaf 1 h�va rend and examinud tl;is applic�tion and know lhr.Same to be frtto end �V ' oV <br /> cem.rl AU provisinns atlews�rrd wdirarm.ms govemin9 tttis(ype aJ r�k w�E Ce wmpfe7ed <br /> whctircr�cr�ied hettein orrrat. 7Tm 9rurrtrng af o pomrif doCs not pmsumC lo pive arNwrify lo PERNIIT# — <br /> vidafe or cancef Ure provisions of vny oMe�sfafe orlocal!aw regulafu�g conymc��on orfhe �7 <br /> psr!ofmancr3 olconstraction. Thal l ari authonzed 6y!he oHnerofthis property to peAwm thr E � �O � — o l <br /> N'OM/Or�yhlC appficaGon is made and I compty wiffi the Staiv CantraGors Law 18.27 RCW and <br /> 96.2 A <br /> � l� � + � 1 <br /> n <br /> Date <br /> � <br /> �� 1 <br /> -_ , <br /> E � 9bLLL££Si.0 OU� Ou)00�3 uwe� eE1�6041 t L I�f <br />