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SPp 14 06 03:03p <br />ELECTF2ICAL PERMIT APP�ICATION <br />p.l <br />CITY OF EVERETT PERMIT SERVICES �y_�� <br />3200 CEDAR STREET, EVERETT, VJA 9U201 �` <br />425-257-8610 - FAX425-257-88f7—www.everellwa,org � obo9-ob � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO A PM <br />�� � � i,� �" Sr sYJ <br />PROJECTADDRESS <br />Ovmer <br />l�, : P .5., <br />hlail AUArcxs <br />���,'Z�i�/ :c`�A �i <br />Phone <br />���_�n� f�e�cfti� -/oi�l /�.�a� s,- ��/ tr'ere�f L.JR 98za.� _ <br />Tenant Mall A4Ares, Cny Slatc2ip Phone <br />yZs �yz-�z <br />iP n'� ;;��,,1 != li�,-�-,?.'. Tn, ��.,/� i;1hl�.Sr S"✓✓��' L�r,r�,urrrl rlif� �i�Dh'�/ <br />Electncal Corlraclo� ' Maa Address <br />�<lu�J/� TL-7CK?C'� <br />Stalr Li[ense NumUer <br />_f�(��t l�l�h i�'�t i'e <br />Prapos��d Use of Bmlding <br />Desaip6on o! 4Vork lo Be Done <br />NOTE� WINING IN NON-DWELLINGS IS REOUIRED TO <br />BF IN RAC[WAYS, MC OR AC CADLE <br />CITV OF EVflRCTT LOCAL SALES TAR CODE IS J106 <br />Cdy <br />Slate/Zip Phone <br />fcCC; CL�'`. Cz1 <br />Contmct rice of Work <br />Contact Person (Plnn Review) <br />1 homGy cerL�y fhal I fe�ve read and exmnmoA this upU�������n and know !he samc fo be Irve ond <br />covrer,! FlIl p�ovisions ol la�ta arid ordinances yovern�ng fh�s fype o/ �voilc wdl be complelr.d <br />��neflmr speci�ied hemin or nof. The �ranting nl a permd Aoes nof pmsume fo pive eufhanly to <br />c�nlate o� cuncM fhe provrsions o�nny othcr sfaln or loCal Imv m�ula(ing consWctiorr pr (he <br />perfomiancn nl mnslnrcGon 7ho1 � nrn nullronrcAGy the owncrol (his orcAerty �o pedortn Ihe <br />�e;vF lor which n�plicnGon rc mndc nn.7 I comnW wifh flra Stafe Corrhat(o�s Lew 18 27 RCth'7fn0 <br />746 200 IVA�: <br />FEE —�—� <br />