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��� � f cl I <br /> �---- <br /> — -- -- --- <br /> ELECTRICAL PERMIT ANPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAf2 STRLET, EVERETT, 'NA 98201 <br /> 425�257-AB10 - FAX 475-257-BB57 -www everetiwa ory <br /> L 150� _ 1�� <br /> �H�9 l0;TI1 PI. 5F: �. a7' IS <br /> PROJECTADDRESS <br /> RI(;11AH1) Ll)1(i <br /> 2R2�) III;'1'lIP1.111 IiV1:KE1"1' !1':1,Y820H aZ5-3iH-O6R9 <br /> Owner fAa�i Aadrecs Gly SWIc2�p Phon� <br /> lenant Ma�iAdAress �dr .IalcZp Phonc <br /> ��111COMIl)R'I'ti1'ti"1'1'.titti 181031rii68'1'lIS'f,G200 Rlil)A10N1) N'AI98052 �2S-Co�-102!� <br /> Flr,r,[n!.alGonhaUor Ma�iadd�ecs Cny Sta�c'I�p �M1onc <br /> 11�1COS1AtC92:C5 ?>II <br /> State'_icense ��umber Covtract�nce o!Work V <br /> i _ To..atek-�Q V-�e�L�s <br /> � ProposeAUseol�wlding CoMactPc�son (PlanRev�ew� <br /> SQua�e F ootage pl residenAat new consirac0on, -emod�! o� add�non� <br /> Number of Oev¢es flf low vu��age) <br /> ncscnp�on ol Workto Bc Done �NSI'AI.I. NI:W NC UNII� tW I)t�iF(�I CIHCUI'I' <br /> FCE <br /> GTY OF EVENETT LOCAL SALES TA)(COOE IS J105 /� O �6 <br /> _ / <br /> 1 hcreby ceridy pud I hnve mnJ�ind e..nrn�nr,,l llns nnPhc;�horr nnd knuw fbe same to br fn�<�nnd _ <br /> cormr.f All pmvisiuns nl laws��nd nrrlrnam:os yovrmmq IArs lyPe o(wnrk wdl Ae r.omplrlea <br /> whrfhrr specfieA hrmin nr nof Ihe�ranlmq nl n prmrA doas nof prnsunm M grve aufhnnry ro I'I kMff A' <br /> vinlpfe o�cnncel Ihe Ptivi;mns ol.�rry olher slnfe or ew n'yu4�hng cnnsfn�chon ai Nre E �"/ D U � � � <br /> prr�nnnanco olcon.afnir.��on Thnl 1 em nulho .r hy fbo o rr of Ih�s pmpeny fo pc�lomi Ihc j <br /> wo� Inr wlrrch aVPlr„aGon is m e and 1 • iply wdh Ihe SI e Confracfurs Law iB 27 RCW and <br /> .96:00 WAC <br /> R/��11Iti <br /> �i a [latr <br /> c . . ' �i <br /> I . .__ . _ . . . - <br />