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_ _.—___. _—___ _-- i <br /> . ._ . . __ . __ __ _.. i <br /> . _. _. _... ____ I <br /> � <br /> � ELECTRICAL PERMIT APPLICATION ! <br /> I CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STR[ET, EVERETT, 'NA 98201 <br /> 47_5-257-8810 - FAX 425 257-8857 — �a'rniv everettwa org <br /> 3�3� -1y <br /> C �403--�� <br /> 1312- 3�.C�___A�l�_ � � ��i�, 1.,,�� . aQ ��3 <br /> PROJECTADDRESS L�-I� _ 1 <br /> �5�-�-��..=- --L3��-�-�1_1..��J-_6�1�. __Lu�g��CT�-�r-�3� - <br /> Ownef A7ailAddress Cdy State/Tip Phonc� \ � <br /> �.r� MQc�����I / � <br /> '�.��L_���--��a. ��.�r �G.�,��1� F-=�1�<i�.t?�-�4�-�a-�-�__�-`��F�� <br /> � --- <br /> Tr.nant h7adAddicss CAy Slale�Tip ���honc� <br /> S � <br /> -Q�ner-- ___ <br /> - - _ __.__ _ <br /> -- _ __- _---_ _ __ <br /> f-IeclricalCon�rador hlad�ddiess City State2ip Phone <br /> Slate Licen;e Number Conlrad Prir.c ol'Noit ---- -- <br /> Proposcd Use of Building Conlact Person (Plan Revievi) <br /> Squair, Footage Qf residenlial new consfrudion, remodcl or add;tion) <br /> Number o(devices (II low vollage) <br /> De;ci�p�ionolWurklofleDune. __mC��.lt�-U�--FC�.����- �lY 4� 1`�1'��p_�1,`��.�.�-�� - <br /> FfL — -- - - <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 / C� �� I <br /> ! ✓ <br /> 1 he�cby cmbly fhat I have reaJ+:nd er;aninr.d ffris apphr.a6un and knovi Ihr, sarne fu bc Iruc nnd . ._-- .-.-- _- - -- -- �_ <br /> conect. 11/1 provisrons ollaw;and ordurnnces ynvnrrriny firis type u/�vorX �vtll br, rnmp/r(eJ - <br /> v�helhr.i spcaficd Immin ar nuf. 7he grenhng nl r�pernnf docs nof preswnre fu give aul7�onty lu PERMITN <br /> violafe nr r.ancrl fhr. �:rovisiuns ni�ny uflre�slalc or luca �w ro�id,�liny eonsfn�chon or Iner r i ` O� ." I�7 � <br /> performanr.e of r.nn;frucfiun Thal I arn�ulhorize fhe ownc�ollhis propr.riy In pe�Inrm Ihe C �'j <br /> ivorh lor whir.f� a,r,nPc,bon is madr, and 1 conr wrth fhc Sl�fc Conhdctors Lavi f8 27 RCW nn�l _ _. __ . _ - <br /> 798?00 C <br /> ' �l �11 ► �� -- <br /> , __ _ - <br /> ��,,,� �.,�� <br />