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425-252-1666 c.m. heating 10:57:12 12-01-2015 3/4 <br />_ _ _ � . __ <br />ELECTRiC PERMiT APPLICATtON <br />CITY OF EVERETT PERMlT SERVECES <br />3200 CE�AP STREET", EVERETT, WA 9820t <br />425-257-8310 - FAX �25-257-8857 — v�r���si.sveretf'r��.arg <br />a�� �� �1t � � <br />IECT ADDRESS <br />���,�� �i� �D� � m � I� �� <br />hla l A�jraa: Cit/ <br />G <br />�I C�ntra�tor <br />P.la:l Ad�re;; <br />P:13E1 A�dra» <br />,m�M�g�7�� <br />canse rlumber (requirad) <br />sd Us=_ of 8uifding <br />Fo�t3�� (ff rasid2ntial na:v constru�tion, remod�l or aJdition) <br />1 <br />of davices (If low voltage) <br />ion of Work t� Ba dona: ��L�� `� L��� <br />cit� <br />City <br />�1 �r `�2�3 y� �7 <br />sc�la�zir <br />s�3t�:2�a <br />� <br />SC�`a2ip <br />�� <br />Pn�n= <br />2�9 L�l�(�(,� <br />Pnor� <br />�� [1J��� <br />Cit� of Evsrztt Businas� Licens- riumrer {requiradj <br />��� � <br />Contract Price oi4'lorR R <br />v��ec��'-i�h� c�r��r►�, �m <br />� �� � ��`� �-bs�o <br />Contact Per�on/Contact l`t�mb?riEmaii <br />FEE <br />' EVERETT LOCAL SALES TAX CODE 15 3105 ��� Q� <br />cs�tify fhat l have r�ad and examinad this appiication and kno�v tha same to 6e true and ` <br />All p�ovisions oflativs and o�inances gaveming this type of �vorir �iill be completad <br />speci�ed herein arnot. The granfing of a permir does not presume to give authority to pERi�IIT� <br />r cancel fhe pr�visions af any otherstafe orloca! Iaw regul�ting conslruction or the ��L � I�� �� � <br />�nce of construction. That l am authorized by the a��merof this property lo perform the I <br />�vhlch applicafion ls made and F comply tvith fhe Stata Contracfora Lasv i8.27 RCW and <br />WR C. <br />_ ... _ ... __ __ _._. _ _ ___ _.. <br />