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EL�CTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3?CO CEDAR STREET, EVERETT. WA 98201 <br />a25-257-8A10 - FAX425-257-8857—w.+nv.everettwa.org <br />�p�I �� �vE ee w�9 � �.z�, ��{ 98�ay <br />PR0.IECT ADDRESS <br />QhTe�u/ Ton F�d.���� <br />'� h!atl lddmss <br />9��y <br />$(�!,��p Phonc <br />ctJasl�� rn-,�f�, F-�„! <br />Tenant • !lad Addiess Gty �� �—_— S!a:e/Zip Phonu <br />��me Elrck�L_ 13301 Sb Z��� 51 j3ei�vu� wA y¢�5 UK 74�_5z <br />ElCctrlql ConV2dOt IdaJ AJ�ress �M S:aYIGp Ptlono <br />{�I/�ItEll3y � <br />State Licer.se Nurt:ber <br />Q_�« <br />Proposed Usc of Building <br />3000 <br />Squa Foota9e (If residenUal eew consWction, remcdel or addibon) <br />� 'S� <br />Number ol devices (If Icw voltage) <br />Description of Wark to Be Danc: <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />� <br />Ccntrac� Pn2 af Work <br />171U.! D �Ur %� — <br />Cantac� pe .on (?lan Rev,ew) <br />I hereby ccrfAy fhaf ! havc rcad and exemirred fhis ap�lic.il�on and know Ihe samc lo be frue and <br />co�recl. A!! pmvisrons ollaw.c arxl ordmances govemi.ay (his typo ol vrork will6e complefed <br />trhefher speu�ed hem�n orrnL The gran6rrg ol a pc:mif dees nof prnsume to qive autAonry to <br />viol ifc or r.anccl fho provi�ions ol any oNcr sfa(e or locv law rogula6rx� can7ruction or (hc <br />podormanco ol construcfion. TAa� 1 am aulhonzod by fhe ov+nor o!lhi; pmporty to pedomi Ore <br />wo15� �or H�hicl� applice6on �s matic and I conrply wi;h thc Sfafe Contracfors Law 10.27 RCV! and <br />u[ �: �sr� r. a�� <br />FEE —_ 1 <br />��0� I <br />J <br />PERI4IT:t <br />, E13��-D�j�( <br />