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- --- __ _ - - _ -- —�— - - -------- � - --- - --- - , <br /> � , <br /> ELECTRiCAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STR[ET, EVEREiT WA98201 � <br /> i 425-257-8810 - FAX 425-257-8857 - �+nvw everettwa org <br /> iZ0 �'J Cas��o ✓Z �, �: ✓�✓�e�tf uJ�A 9���4 � <br /> � PROJECTADDRESS � <br /> ------- -- <br /> ------- ---- <br /> -- ----- <br /> Owner I.taJ Atl.ri�ss I '�I ` C ty State!Zip �'hone <br /> v 7 <br /> �nr 1�U fl� `' � 6 <br /> �- � - — - - - _ - --- <br /> len,ll't 1.1a� Aa�iess �'���_��d� S,a�e2�D nq.>..�, <br /> �77_F�����r��<<�' s���e s_ 2o4d l_%���, �riv_-Sc=_ t���v�/�� i.�/f� 9�'� �- --- <br /> CletincalCent�ac:or I;,d�Onress �'.� S�abe;l�p �'h_re <br /> ZG�-��ty'-r��yC <br /> 77/�`LF_'S �t3v �v �Uc> - - <br /> �� State lice��se Number Cont�acl Price ol Work <br /> ' ---- --------------- i <br /> 1'ioposed Use of Budding Contact Fcrson iPla� Hev�ew) <br /> Syuaie �outaye pl residenhal nevr conslrucl�on. remodel or add�tion) <br /> � I <br /> `l�n,bci o�dewcc, ilt ivw vutlaUcl <br /> p I <br /> I`��sc'ipht',�' ol 11'r,ih !,� NF•Ui�ne� � L�, (�ir^ /� � . ._. .. <br /> ��..����^��"- . . . . '�- .!-'� __.� ._�GC� CP/'1�)`� <br /> T <br /> � e t <br /> �l� r-�t,� � �/��.-» u'�✓r '�° f o _ �an,c�( , L� �� - �S . . _� C�n���cv <br /> GI.��� S�t?t�{ Cy�� lc, '� r1 � __ .._ <br /> � — - <br /> li�� � I � <br /> CIIY Of EVERETI LOCAL SALFS TAX CODE IS 7105 � ���I J / I <br /> � <br /> I he�r,6Y eur�ilv fl�af I h,rve�caA dnJ C�Jrruned lhr;app6cdhon anJ Anuiv!he SJmC N bC hue and � __ _ _ ____ ' <br /> .�oim�.f Allpiuv�s�ons olla�tis and oNrntlncrs yo�.rrnrng flus type oI�•:urh �wll br. complefed -� <br /> � nhclhei spcabed heiem ur n�f Thc gianhng ol,t prnttd doe!s nof presurnr, lo r�rve aulhonfy fo PLRMI I u ' <br /> . ��olafC m cnnrul Ihe provrSiUns ol nnV other sldfe o�/ocal Imv regulef�nJ COnsfn�c6un or (he � <br /> prrlorm�nce o/consfruchon lhal I;mi a��lhun:ed by fhe owner o/fhrs pro(.erty!n PrAorrrr Ihe � E I�Og � O g� I �, <br /> ' n o� lor w�hich appLcahon�s rnade �nJ 1 cornply�vdh fhe SWfe Co�Mr,�cfor5 Larv 18 27 RCW;ind _ _ <br /> :96 200 v1�4C <br /> /i- <br /> � a c� VOG�- ��/��//�Z-O/ 3 <br /> � s,��o;m„� o. <br /> i <br /> ( <br /> � . , . � <br />