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I _ _.—_ _ i <br /> I <br /> � ELECTRICAL PERMIT APPLICATIQN � <br /> � <br /> � CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREFT, EVERETT, WA 98201 <br /> 425-257-9810 - FAX 425-257-8857 -www everethva org <br /> 3 `�9 `-�� <br /> G � �03 � Z <br /> �',�0� _��1�- -- <br /> PROJECTADDRESS <br /> Lu,���-�, x . __���«�� _ __ - -- <br /> U�vnCr M11ailAdAress C�ly Slatcll�p I'hone <br /> ___. . _ . _ _—_.—_.___. _.—___ . ___ _ —_. ___..____—___-_ <br /> I�enant M17a�lAddress Gly Sialel7�p f honr. <br /> _G�oD_ss.,� ��<<�•��___ _��L— _— �v_(��te,, tti��- -- y�y�B� <br /> �IecfricalConlractor L1a�l�ddic;s C�ty Slatc�lq� Phane <br /> ����3�� _--- --- -- --- _ _ _ I <br /> Slatr. Licenso Nurnber Conlra�.l Pnr.c ol`A�ork � <br /> �`���1� Conlac�Person Plan Reviee�) � I <br /> I ioposeA Usn of Budtl�rg ( <br /> _�I52 <br /> Square Fonlayr. Qf esiden�ia�nr.w consbuchnn, rernodel oi aAUdiun) <br /> � Numhr.r of diev�r,ev Qllovi volfage) <br /> i <br /> r-- <br /> Descnplion ol Wo�k la He flonr. _�{:t.__ . �QSN_.� --��'��Ull�_ _ �a!✓��S �_�1 --_ . <br /> —�1si411 4,��_ _J�(n/,� —_ l..JiE�_�r1v�_ - .L/t _�� --- <br /> -� — — <br /> _�.�>� �n�-- -.c�u��_-�S --- -- — — ---- --- — . <br /> FFf— --- --- -- <br /> CI7Y OF EVERETT LOCAL SALES TAX CODE IS 3105 l��'1 UJ <br /> / � <br /> I hereGy certdy fhat I have read dnd exaarrned U�is applicafwn and knuw fhr. sanw lu be Guc and -- --_ - __..-- -_- _ <br /> coiic,,(. All prnvisiorrs ollaws and rndinanr,es govrrning Ihis lypc ol�vo�k �tidl Gc cumpli�lr.d - - - - — <br /> whr.ther specdicAhr,icin nrnof (Ir�yi.inling oI a pwnvl dnes nul presumr, (o givr. nulhonty fu pFRMf�# <br /> viulofe or r.anr,cl Ihe p�ovisions ol any oflicr sGdr. nr lor.nl Imv rc�idafiny r.nnsbucfinn n�fhc <br /> perfunnance ol consfmc6on lhaf 1 nrn aufhunzedGy Ihe nwnr,i u/Ilris properfy lo pedurm Ihr. E I� � �� � q 7 <br /> woik Inr whicb epphc n is , adr, ,�nd I comply wdlr 1he SCile Conlraclors l.aw 18 77 RCW and . .---_------ <br /> 29�W/1C — � <br /> % ' �--��,_ � �� �� <br /> `�, - - - _ <br /> -- siqnaw�e -- -- --- �— o:;�� <br />