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ELECTR�CAL. PERMIT' At��IL9Cp►`�'9(�!� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRF[T, EVERGTT, VVA 98201 7_ a a ` I y <br /> 425-257-8810 - FAX -125-257-8857 - ��,�wv✓.everettwa.org � �/yD7vo <br /> l��l iJrODUW�^� aUv n <br /> PROJECTADDRESS <br /> as3 - <br /> ��yene� CIF��,.nV. P. o. 3� 5�3 l-a���e.�—. 1,,1�9- `Ik'� �li�`5�� <br /> Owner tdailACdress C�ty Slate2ip Phcne <br /> S�^� — <br /> Tenant Ma�lAddress City Slale/Z�p Phone <br /> �omeokx7� _.._ - - <br /> Elr,r.incalCoNrador MadAddmss CAy StalelZ��p Phonc <br /> ISl��f �rn�e P9urr.ber ---- -- Co��aC�Prce of Woik ------_. <br /> �Q?�[ I /�"lS�d e�. 7�a� -— <br /> Proposed Use of B ikling Conlact Person (Plan Review) <br /> 26Dn <br /> Syuare Footage(II residenlial ne�v conslruction, remodel or addition) <br /> Number o(devices Qf low vollage) <br /> f7escription o(Wo�k lo Be Done: C��a+� - y�r 9�" ✓��+- , '�"""�� 0� O(d Uk-VSEN _ <br /> ,/ O <br /> W4-(�_7 /�,�,,,eva,( c� �(r�au�BrlLtA I(q'U(1.,. s1.4 l� l{f �d /�) / �*.,. C/v-c4 �F��/) <br /> �'�����e CircN��{. <br /> FEE <br /> CITY OP EVERETT LOCAL SALES TAX CO�E IS.3705 �D O� <br /> I hereby cer6fy(ha1 I have read and examined Oris application and kno�v ihe samc!o Ge 6ue and — <br /> cormct. A/l provrsions ofla�vs ar,d o�dinances goveming fhis(ype oI�vork wdl be complefeJ --- <br /> �vhefherspecilied heiein ornoL The granfing o/a permit dces not piesume(o give aufhority fo Pr-Rrm�� <br /> violale orcance!(he provisions ol any ofher slate orlocalla�vregulaling consfruc(ion or(he � �� O/ t 1 r O�_ �O/' <br /> perlorrnance e/construcfion. That I am aulhonzed bylhe ownet o((his propertylo peAorm(he ��q ��� K J <br /> work/or which applicafion is made and 1 comply�vifh fhe Sla(e Confracfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � Smna um —'—�_ (u�� I I� -- <br />