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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3?00 CEDAR STREE f. EVERETT, WA 98207 <br />42�1,7-8810 - FAX425-257-8857—www•everettwaorg —/Or/Z <br />!b <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �I��O _D� � <br />/�f/(v //�2 �' S� � <br />PROJECTADDRE55 <br />% — r I lJ�i' !'�7 1 <br />Owner <br />I/Ifill AUOfP.99 CAy Stnle2ip Phme <br />Tcrv�nt <br />/1CG£I G/£ <br />EMclnr.al CoMractor <br />IA:tiI Atltlress <br />�'c LG C <br />Mail Aildresc <br />CUy <br />Ciry <br />w <br />/�c� 1 � l �'P.z k'� - <br />State L�cense Niunber <br />��fa�'i <br />Pruposetl Use of Buiamg <br />���_���--_-- — - <br />Square Pootage (II resiAenGal new construdion remo�ei or addwon) <br />�7 L` C'�l /L �� <br />Desc��p:�on of Work to f�r. Donc --- <br />NOTF. g�� IN RACE 11YS MC OR AC CABI ���R[D TO <br />Sla!MZfp P�'^^ <br />,�s3 C- yvs-i ��� i <br />� �•/i1 !/J/�%� <br />Sla'el7ip <br />� �1�� � <br />Contrxt Pnce of Work <br />�it /? D <br />Contac' Person fPlan Rewewl <br />CITY OF EVERET? LOCAL SALES TAX CODE IS 1105 <br />i n�vehy crnrlY thnt l hnve med and eaa�rimr.d fh�s appficefron nnAknow fhr, same fo 6c In�o and <br />cnred AI! provrsrons o� la�v; und ortfinonces gnv[!mmg fbis ry�e r,! �t:�rh mlf he ccrrmlefed <br />e�he7Rr,r sper.diod nr.�o�� o�.nN. �be g�.innng nl a pnrmrt Ooos n�tprnsume to rvve autimnly fn <br />vrola'r, �x cencel t/�e �rovrsrnns o� nny dher slnfe a ior,af l��v rn guialmg cronsu��a(i�n � t�� the <br />�cdnmranr,e n! �nns�rur.lnvf. Thnf I nm avfhnnzeC DV fhe own_rol flns pm�rty p, - , <br />��m�k IrX wh�ch anp��r3fion is madc r'nd 1 r.ornply v.vh (he Slafc Contrncfcrs f aw 1D :.� RCN and <br />?76 20014'AC. <br />v � Y� ///�,5^ ��.��-%Z <br />� � yRl l'lYd'tiy�. <br />FEE <br />._-U c � <br />� � .'�( � _ � .� I <br />F'hme <br />peiq d!Z ZU Zl 8Z daS <br />