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01/14/:U13 05:2r �EG;74Gi26 <br />.�." <br />DO;IN'niSuN ELSCTn:C L`iC q2456 ?.GO� /UO2 <br />ELECTR�Ci4L PEFdtVI�T �►PPLICATION <br />CITY OF EVERETT' PERMIT SERVlCES <br />3200 CCDAR STREET, EVEREfT, WA 93201 <br />425-257-5810 - FAX 425-257-8857 — anvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 3 AM TO 4 PM <br />' '��Z �� <br />;_ 5 e e ve�-err vn-� i� 6✓�.� <br />; PROJECT ADDRESS <br />CTsner <br />Tenan; <br />!Aa;l P.datess <br />J.J..�.'(. <br />htai! l.Cdress <br />c�q. <br />n.�u v.�, et�P/'¢f i <br />Cfi� <br />%� %r7 —/ j <br />C/3?J/-c�'7� <br />S:atJ2p Phon� <br />SalelLp Fhone <br />� 1Z��Ie��n e%ctr c�'iq � olv.tiR�� �tvt q�l.:.s�, ' wr�. `�zZ3 `��S-z3& v��i � <br />ic edrea: ContraCtor :.�a�i adtlress � G;y Scace2ip �nc❑e I <br />I <br />I <br />' �Jnneei OvY �Z %�JO.•� <br />j S�ate License Num�er Cont2cl Price ot Wortc � <br />� <br />i <br />� P:op�se� U;z of Bwid:r.g � <br />G,nf2N PerSon (Plan Review) I <br />� Descnp;ior. ot WoAc ,o Be Doie: l� C.�� e< f' �d'l� 'Tf�c�G W�, �1 ! <br />' � <br />� I <br />1 <br />� <br />j �OTE: WtRi�G IN NON-DWELIINGS IS FEQUIRF TO I <br />�D FEE <br />' BE IN RACEWAYS, MC ORRC CA9�E. ' i �� �� j <br />' -- J I <br />� CITY Of- EVERE77 LOCAL SALES TAX C0�_ IS 1105 l <br />I hcrsby certrly (hat I havo read an� exa .nined this applicaGon antl know;he Same ;o be iiue and <br />GOnCe! All provisrOnS c! laws any orCi�urccs govemino �hrs type o/ woAc �nli he mmpleiEd <br />w.hether spcufied he�em w noL �e granlinq oI a pemirt does not presume b giie authonty fo <br />violato 0� CanCel Ihe provisi0n5 012m� o'her sfafe or (ocal l��v iegul�fmg Cpns(luC.ron or Ihe <br />peAOrm�nce of ron5V7.�c(iOD. Thz Lam r��;�mb�l D/!LB OwnCr of fhis piop•riy fo perro�m fhe <br />tvo�k lor which �ppl�CaGon i:,a�and ! �pmp/y �vifh !he Slafe Contraaors Law fd.27 RCVJand <br />296200 7JAC. �/ . <br />l.— I /V � ' O� � <br />