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----- — — - — � � <br /> ELECTRICAL. PERMIIT APPLICA�ION <br /> CiTY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STR[[T, EVERETT, WA 987_01 <br /> 425-257-t1810 - F!V( 425-257$857 - www.everetlwa.org <br /> t�='s°� `o�6 <br /> �0 ao �h►� �-r � � u -� � .�s <br /> PROJ[C7 aODRESS <br /> ���� T .L(. �P1o0 N�St s ' y� <br /> 0'.vn�Y �rR3il afnnn„ <br /> C�Y S aY72P Phonc . <br /> �hQ � l• . <br /> _�U <br /> I Tenant hfaa Address �;N � 5,��2 — � <br /> P Ph�nc <br /> �'uc�N�'fc� rmn�w�unica��5, PO �nx I�iloQ���p��,(51n �,� q p�.91 �th-3LI-S3J13 I <br /> n <br /> E12CdC31 CCn}I:iCl01 Mall CCresS Cn ���''''`` I <br /> � �''�e���P PI»n9 <br /> �Trzuc.c� g���o� �(�� � <br /> State Lcenso Number(roquired) Ciry pf E�-er'eu su,��ss�iconse Numbo�(reqwmc) i <br /> Q�� �J2 � <br /> Propcsud Usc ol uildi p CoMmct Pnce p{y�rk I <br /> I <br /> �w�l� k2 �kZS•32t-53�13 ! <br /> Squmc Fontagp(�(iesidoMial ncw conNrupion,remodr.l or adtlitbn � <br /> ) ContaCt Perwru'Co, led NumDndEmail�� <br /> I �3 d�;si;�.d�r-e e,y�a�M�c.-��r . <br /> Numoer ot deh:s9(I1low vNfagu) ��� <br /> O I �aSCnption ut Worir to Bo Donc: �1 1 ��it✓I��VAICR �'Iv� L S ( �� � <br /> �---r.s_� �� <br /> V I <br /> � <br /> -S�u � 2 ` � <br /> I —__ <br /> I -- _ <br /> F[E <br /> CITV OF E�/ERGTT LOCAL SALE9 TAX CODE IS 3'105 I r�Q� <br /> I harany curtily fhat I hr.ve mad and eaaminocY fhra appliculion andlmow Ihu samc fo bo troe�nd � <br /> aronocG All prov�slOns o(law9 and ordlna�tcn govomin�this rype ofwodc wlli bc ct�mpl0fed <br /> wbvfr,cr specMOtl heiyln Of not Tho pranfing o/a pemrrt does not prosume fo g/ve aulhority�o PERM <br /> vr0.'ate or ca!)cel�he prDvisions o/any ofher stafp o�local law regulatlrg concVucGon or tlre �� <br /> perloimonce o/cons6uc(ion. Thof I am auUionrsd by lhe owner ol thls properfy to porfwrn fho � g I 50�_Q I I <br /> work(Or w/�icA applicn�on is mpJo and!c.�mply wifh thu STolo ConWclvrs Law 18.27 RGW nnd <br /> 298 700 WAC. <br /> � - `e _----j 13 Zo � <br /> s� <br /> n.m <br /> � ��+avoevu:n�. <br />