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i � - --- ���- - - - - �-� - � �-- - - - �� - - - - � - �- - - - - - ��- - - - <br /> ELECTRICAL PERMIT APPLICATION , <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CFUAR STREET, EVFFtL"TT, �h'A 98201 <br /> 425-257-8810 - FAX 425-257-8E57 - �^n•nv everettwa.org <br /> �� 1 l.l� �V vl.l.���`�`� _ � I <br /> PROJECT 11DDRESS <br /> �lN (� �,t� LlL I'1ll.o P.�t��l+�.x� ��re-�—�l' c,�51�-- <br /> ' Owner tda��l A�aicss iry Slale2�p �'�•o�c <br /> , �{'�� 339- Zz&5 <br /> Cl1n�,t S � '�t-tZt.se i'1� l? ��dU.ua,.x "Z"�re�c�►t �,.�+4 q �(� � <br /> Twvaot tdali Address Cl;y S�ate'LC Fhnr? <br /> i <br /> .�e'��—�l�t�-�l� �(S �YDCc�� �(U( �=tf�'�{" 1��' Ct$Z6� <br /> EIcM.tiC31 tlfeC;01 ileil m5L G!y �Ia�dZ�D �ti��i� <br /> �.�V���S�I 1�L�— 11 �� •� j <br /> State Liu+nse Nun:bc! COnI'2� Pr;CC Of WOfK <br /> �� rYllli�'c.cw c../� � wn M-t�.r�z,,�.�� <br /> Proposed Use of Bwlc�rg Contact Person (Pian Rev�ew) ' <br /> i <br /> iSquare Footagc(II ms:denhal new Constructlan, remadel or adtl�t�on) <br /> ' � � � <br /> Numbcr of devices Qf low vol!aye) �i <br /> Deeaiption o1 Vloik to t3e Done �n. l C6 � I �(' _ ' �� '� <br /> � I�Q�In.� � t�CA�'�'i �Yl • �/L-6�S�C� ���°l�v 11-Je�'f�,s�_ <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 � �� /� <br /> L/ <br /> I hereby certAy fhaf�have reaJ end exarnined lhis oppllcafron an�know frrr same ro be�rue and ., <br /> currec� Aupmvisrons ofiaws nnd orrlmunces goveming th�s rypc ol work wd16e complete0 --- -- <br /> whelher speci(ed herein or noL Tho granhng of a permif does nol presume to givo aufhonty fo pERMITx ��, ' <br /> viclote orcancel I�e provr5i0ns olnny ofherstafe or fOcallaw io,quiaLng cOnsfmc�ion nrthe ��. <br /> perlorrnance o�construc7ion. Thef I em authonzed bylhe ownero/this propeRy lo perfom�tho � :� :� _� I � I <br /> wotic lor whfch oppl/cobon ls madx.�nd 1 comply with fhe StatC Contracfors La�v 18 27 RCW and <br /> 29fi.200 WAC. '� <br /> �� � �(� <br /> S�gnatma �ate <br /> � . 'eC::^.>v� �. <br />