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Sop 04 1J 07 �S� F�nin E lectr�c InC <br />42533777n6 p 2 <br />• <br />ELECTRtCAL PERMIT ARPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C!?DAR STREET, EVER�Ti', WA 96201 <br />425-257-887U - FAX 425-257-86S7—www.evcre,�thraa9 <br />�il,� Gl �l� �� S� <br />PROJECTADDRE,SS <br />� <br />JPw�-�-� c�c� -�;� <br />oie,nrr <br />Tenant <br />,�U <br />ILo Sv Ev�e�rna.11�,cy <br />�-U:F� loo F�,, <br />�� �{iR'�6 <br />f.�a:l Addrecs <br />c«ro�a � a� <br />��i` f i F�� � 3 �r ti-f <br />���� <br />1�.� �e w -�w �Qi � <br />Propasetl Use of Bu00�ng .. <br />_� �� � <br />Sq'geF°d'a�e(tl � � n�vmr�s9utfiOn.��oee�or� <br />Number ot tlevices (It iow vo:lage) <br />D�uipCon ot WoAc to Bp Done �%V i�� /l/ .�.a.`l <br />_I_�^_� -rv + Pl.�.� <br />CITY OF EVERETT LOCAL SAl.ES TAX CODE IS 7105 <br />� <br />f�,e4- 9�"10�/ <br />�� <br />SloteRip <br />��D <br />r.onera�t wice d WaAc <br />�l d i <br />9 i 3 �f�0 <br />Pi10/1S <br />Phono <br />tlJT 3� Sj�J <br />Phorv� <br />conraa rerson (Plan Raview) <br />� ,�,�r �Jw�/� <br />f hemhY certXy lhnt 1 haw imdand exerrumad tlrts ap�6pL'on e�Mlaww I6e:.mno to be true and <br />aoRett AOWovbtowsdlawaendaut5n�sgv�ert�E�pfiistypeotaaXw/6emr�kyed <br />v/018 orle cancel !he ornot 7Aegrm�tlng d a pemuT Ooes notMes�mre Io pf� eufhmity tn <br />P��'hrarrs of any othorsfefe or/oca/ lew rtgule7ny rnnsbucpon or1Ae <br />PB�/om+anee ofrnnshueHon. fiet / em e�M7arhed Cy Me o�merolNr;y p�pporty to peAa�m �he <br />we�r lo� wNch appUcatlon rs me�e and I compty witli !Aa SYafe Conbsctws Law 18.27 RCW end <br />296.200 WAC..� � � . <br />U <br />9'B�.Ydo�a <br />� <br />{oo� <br />PERM[TS <br />E lyoq- oZZ <br />