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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.everetN�a.gov <br /> �l5/b—D�Z. <br /> � �G � Iz —lY <br /> I'1�� �'Yi-�-�e �l� <br /> F'ROJECT ADDRESS <br /> , � <br /> �1S �� I ?,2l 1 <br /> tl� �f f �41e -_vE' ��I�o ���2 F�ik�� av� ����zt' _ 1��.� `�gzo � <br /> Cw:ne' 'ddaA�.r;.nss C '� S:ale7_�P �'��".�N <br /> Tenlnl '.1ai Add�ess C'� SlateZi,^. Pnonr <br /> � ��g� <br /> �3,�kt��'1���1(1c1� ��b'rl�?�i�1��1 ��a��leY1S �� 1�X �j�� I��llkl��l ��� ��rt � <br /> ' E�acPf� .IConVr]COf kadn:qn•rs C'y . Stale�Z�p F�r,r.e <br /> t�A�A C,f�C��L,�,k r� _ (�`��L�g <br /> � Stat�License N�mLer (-eawred) Ci1y �' E�crett Dusiness License Number �rcyunedl <br /> Wopasea Use c' O�.dyinq �ontr�ct Pnrec!'Nork <br /> I 7 <br /> �.k�t-�1rc'. _' 'vinQ,1 �c�C (rB `]�CLw <br /> Syuare Foolage III resitlen�ial r.ew const�.iction. «�m�aet or atldd�un�� Co^.tact Per;c��Conlact N�moer�[mail <br /> I"f�.��r�'a��n h°nhn� <br /> � ��� <br /> NumDe�of devices 11� low vollagr.) <br /> DCSCfIPIiOI10�WOfI(10 BP. DUi7C ��9K ll ' `=���— 1L U�—fl(L-C.(j ., <br /> --� <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 � �,` (/Vi <br /> 1 hv�eb�, ceRily thn!I ha�e �e,id dnd crarnmcd fhn appl�cafion and D no�ti Ihu sarnC fo be frue 3nJ � <br /> —.____..__----___._.__- � . <br /> • r,.rnrr( AN p�uw.vnr,:. �d l.m� ,inJ ordinan�e.c yuvenung fhis fype o/roorM wdl bc Complcled -- <br /> Hnethr,r specrhed hPrein nr n��t The granlrng ot a permR does nof pr�sumc lo g�ve aufhonl y fo PERMITX <br /> i vinlale or canrel Ihe prows�nns ol any ofhei sfaro nr local law rr.gulating conshudinn nr�hr 1�, <br /> peA:nm,incu u/conshuc6on Thaf I am au(hunzed by thr owner ol fhis p�operty(o perlorm�h�r E I v ' �O/ O�� <br /> woik Inr�tin¢h dpp6cation is mane anA I comply wdh fhe Sfafe Confraclor; Law 18?7 HCVV an0 � J <br /> I �9 20� dCl <br /> �� i�i�,'—�.-- IG I.� � <br /> / S�gnaiure — � p��p _--___— <br /> G <br /> I ..,.1; +'n:���.� _. <br />