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� � <br /> - -- — - - - I <br /> ELEC�RICAIL P�RMI�' �PIPLo�A�'oOIV i <br /> CITY OF EVERETT PERMIT SERVICES <br /> 37_00 CLDAR STREET, [VERETT, UVA 98201 I <br /> 425-257-8810 - PAX 425-257-8657 —ww�v.everettwa org I <br /> ( -lb-i5 I <br /> � C-i�b-C�'IS <br /> � > n <br /> / �'i `�� � �'1s ,��o o� /� ��'"� �� <br /> PROJECT ADDRESS I <br /> _5�raz MaGr�oc� a_ A�r. T�IC. rvrs �AsnaoE� �vtacii--- ��----2�za�l -I25 y+� 59� <br /> Ovme� PAadAddress Ctly Stale2�p Phone <br /> Tenant --�--�-� MaiiAddress -GIy �-------- Slate�Lp Pho�c I <br /> � 21 N� wEST I'4�O.IJO DRrJF � <br /> � ����/ /y ��L' !�, � < <�Ha�o rsc�aD +�4 9�r282 a6o 3f�7- �f56 <br /> I f-leclricalConlractor tAa�lAddress � Gry Slale�l�p Phone I <br /> s �a�FrEL 951 L3 _�? / � � �� II <br /> State License Number(reqwred) Cily of[verett Dusiness license Number(reqrured) I <br /> Apaa-,nr,�f �dr��r.�- -- ----- ----- I <br /> ProPosed Use ol f3ud.l�ng -- --�—�- - Contrad Pnce of Woik � <br /> f,l'.S S��i,��i' 3G - `I � <br /> o -3�'7 �/- <br /> Square f�ootage pf res�dentlal new conslruction, remodel nr addihon) Contad PeisonlContacl NumbeilEma�l � <br /> I 1 <br /> � <br /> Number ol dr.vices(II low vollage) <br /> I UescriplionolWorktof3eDone ADD�uU �JHS' AN7 TIMf�2 1�4NfL_TO f��STINtr ��rl'��PASIhI Ou g. . � <br /> -- �- - -- - — - ( <br /> Ctr^M��� �4c Ap�{K_�HrrJi Cor�➢c�,-- --__--_ _, --- - - --- --- I <br /> I <br /> I -- — — — -- — — -- ---- -- FE[ -- — — <br /> I � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � f_ O o7� <br /> �(/ O V <br /> 1 heiehy cr.rtJy(hat I have read and erammed fhis applicafion ano'Fnu�v Ihe samr. fn be hue and ____ _ <br /> conecf All provisions ollaws and ordmances gnveming fhis fype o.'v:ork��:dl bc r,ompleted -- - --� -- .. <br /> �•,hefder specJied hemm or noG The granhng o/a pemuf does nut presurne to�ive authouty fo PERMITN <br /> woLdr, or cnncel fhe provisions n/any other stafe or local law regulafing consfrucfion or thr. <br /> peilomiance of cons6ucfion Thaf 1 am aufhonzed by fhe o�rner o!fhis propeRy fo perfonn lhe � ! �O�— %�Q� <br /> ��,ork lor which applicafmn rs made nnd I comp wdh(he Sfate Con6ar.lois La�v iB 27 HCW anA _,. v � <br /> 296200 WAC. <br /> / _� <br /> ��l' "" l%��%���- <br /> Signat e / Dale <br />