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... ,...�,�.� ,�,,..,,.,...�,.,,,.....,,�„, ,...... ..,.��e <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR[ET, EVERETT, WA 98201 <br />425•257•8810 - FAX 425-257-8857 - wv�v everettwa org <br />131v 0 g; u Skr ud R c�, <br />PROJECTADDRESS <br />h00rp55 <br />�VCr e�l S�_�,01� l �t �-r.�.sKl,c rc( Ro! t'��refl,._/ut� 9d' Z vR � <br />Tenant f.la.i naarecs Cny State,�ip Pnone <br />., _. . ' - - - - - 3�0- �07- <br />Comractcr Md�l AtlCrBss <br />BA�UviEt 95�1NK <br />State L: nsc IJumDer <br />Sra.l.e Nx�se /�t�p rub� str� �-�a� <br />PraposeC Usc ol Bueo�ng <br />Squa�e Footage (II res�dtntial new construaion, remodei �r aCdn�on) <br />Number ol tlences p( low voltagc) <br />DescnD6on o1 VJork to Be Oone. <br />Gry <br />Fn�nc <br />lrS, 25'0. o0 <br />Contrea Pnec el Work <br />ciAn1C.1 lylP�l1 �CP <br />Cortact?erson �PianRewew) ` <br />a� d l� / h�� i_.-- — --- J-- <br />CITY OF EVERETT LOCAL SALES TAX CdDE IS J�OS <br />! hereby cartdy� 'hnt I huvn reed antl exammed fh�s npp6caLUn �na Fnow fAe �ame fo Oe �rue antl <br />corrxd. All provisions ol laws and ordmanees govoming fh�s type o/ worw w,q 4e cumplefed <br />Nhufhx� specrlcd he�oin or noL Tho gr�nhng ul u pwmif dxs not presumo (o grve vuthonty to <br />�io�ate or cancel the provisions o! eny other sfate or local /aw rogula6ng consfruct�on or the <br />peAortnence o/construcGon Thaf I am aufhonzad Ay 1bx uwner n7fDrs property;o perfortn NB <br />work lor wluch p6caLon �s matlo anU � campty wrth )ho Sfafe Gontracrors t ari 782; kC W and <br />196 00 W <br />-� -��i�� �-�� I I� <br />5Ev5fU1^YU <br />FEE -- -- - -� <br />! I�SIZ• 25 <br />�PERMIT# <br />� � `�� � �_�'b_�_� <br />