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� — — - - -- - --�— - — — — - <br /> �� ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT. WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa org <br /> � <br /> ygg 7 �L���� D,� i <br /> � <br /> II PROJECT ADDRESS ; <br /> �' ��U��FA 51���0 y�4� bc�l�✓E �� F.�/F�-�� U✓a. 9�zo3 yLs-3qo -�z7' � <br /> I � Pnoi e <br /> � OWnCr lda4 Aa�ress Gly S�ato:Z�P I <br /> iCnanl ',tarAd�ress Cty SI�IeQiP Phore <br /> �{t,t-N?l- <br /> , �',i�NOAN� En��y S�i�ES ��zz�s ���N s�' g�H�u� w� . A�oi� y�� � <br /> ', [Ier.Vical Contr�C�or ld,a�i ned�ess C�ty Sl.ite�7�p �'r����' <br /> ; c�u�J1��.ESo�1Sg ZS�-� — <br /> 'i ` �i�e t icense Numbe� Cr�nl�acl Pnce of Work <br /> Prupo�sc�s�I 6wldmq Cont�ct Person �Pian Fiev�ew) ; <br /> I <br /> � Square Footage ilf res�Aenl�ai new contiVuction,remodel or aAdd�an� <br /> Number of Aevices(If low voltagP) I <br /> �ii AUD�n�� A N�w c��c.cu rf�at- �v Dv�R�ESS , <br /> Descnption af Wak lo Be Uone '�i <br /> � ���'/'�iMF '� <br /> � <br /> � <br /> ', —�� <br /> FEE <br /> GTY OF EVERETT LOCAL SALES TAX CODE IS J105 �T 06 'I ' <br /> V <br /> 1 hereby catrty fhaf 1 have read and exam�ned fhrs app6cahon anA know fhe same fo Ge fnie�nJ . _ —_ i <br /> co�r.c( All provisions o!laws anJ orc/mances yovem�ng fhis fype ol work wdl be conrpleferl - - — i <br /> whefbcr specdied hmem or nof The granhng ol a pemul Aoes not presume to�rve�ufhonty to PERMIT# , <br /> violale or cancel fhe provisions ol any ofher sfate or locnl law regulatmg cons Wchon or Ihe ^ ��1 I� �3�,( , <br /> pedo�nance o/consWction Thaf 1 am authonzed by fhe avner o/fh�s property fo pedorm fhe C � ' <br /> wo�M !or wlnch pfi ahon rs made and I comply wdh fhe Sfate Conln.clors Law 18 27 RCW and _ _ .._ ._ � <br /> 296 200 WA <br /> ��r�0 �� 3 <br /> S qwlur [)alc <br /> ��o�,s�,i:r u . . .. . . . . - . <br />