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07/1:/201G Pk: 12: 1< Pr..+I �y'f0�2/69:: <br /> ' • • <br /> Ei_ECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 88201 <br /> 425-257-8810 • FAX 425-257-8857 -www.everellwa.org <br /> I <br /> i a I <br /> � g� U ���' � j <br /> PROJECT ADORE55 � <br /> '��ct,� � -�titere.�4� k�0� -}'-u-�r�cea,� l� � <br /> 0 " er P+fsIIACCresS Clly S�atn2lp Phon� <br /> � �_�� o� `�l� ���� �-t'Es1� �a'� <br /> I Te nl Mull Addross CNy StpI01Z1D Pt;onu <br /> � �.�� C���� ��P� `�go�t ti� ��.��t Med�:ro, w� �$��� <br /> ElectrloalConVaqor MailAddro�� Gi Siete2p ancno � <br /> �1-��-Tc D g9`t 5 ti .� ,21 � 0�60 � s-o <br /> St�3te Llcense humber Conlrnct Pdco of NJork <br /> ' �,;,��-,,t`q� a,, 'v, � c�'�'� <br /> Propoend Uan �Buliqlnp Conlact Person (Plan Revtow) <br /> —I� � <br /> Squeru Foota6e Qf reeiQynbal nn,v conetruc:lon, romodol or addltlon) <br /> Number of devlcos (If low voltapo) <br /> Dnscriplion of Work lo de Uono: yCIl.�¢�� D—J �'�� � " ~�"''�""' "' � ��tCA <br /> We�� h �D �h � _ <br /> ,�V�5 �- 1� 5 °�a bv�9�5�seb = ��5 <br /> I� S" ' FEE <br /> CITY OF BVERETT LOCAL SALES TAX CODE IS�105 f �„4-p C1• S ��o) � d� �j ' � � <br /> ._ir . r- <br /> I horoby corbly fha((hove road ond oxamined thla upplicafion and kno�v fhe seime to 6a lrue nnd <br /> corr�ct AI!pmvlslons o/lews and oRlinances pweming fNs fypo a1 work wdl bo comf•!ntotl <br /> whotherspnciCoJ horoin orrof The prontfnp ol a permlt does notpresumo(o give autbcrity to P[(iMITr <br /> v/olnfo or eancol lhe provis�ons ol arry ofhor stato orlocal law rogulnNn,ry construcllon orfhe ^ I , /�� � <br /> p�dormence of conslrocUon. Thnt I am a ufhonzed by fhe owner ol fhiS propaRy to per�orm(hu t �I � /� <br /> work/or�vhlc/ opplltt+fion is mt�de and l comply wrth Iho 5(a(a Contrnr,7oia Lnw 78.27 RCLV and VV <br /> 296.200 WA . <br /> r,....'" ' <br /> "L� y J I I � I ��--- � <br /> Slgnatvre �ola <br /> NLYiSCO 1:Ntl � <br />