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EL�CTRI�AL PERMiT' pF�F�LICp�"YC�I� <br />CITY OF EVEREi'T PERMIi SERVICE� <br />3200 CEDAR STR[F_T, EVERETT, �VA 98201 <br />425-257-8810 - fAX 425-257-8857 - �+n•nv.everetl::�a.org <br />q� N. 8►�.ohpwx�r <br />PROJECTADDRESS <br />`�-0 6—/ � <br />�i �(a � ��-t <br />E.,,r,;�.faT cew�w,rt C'cu.� ZJad _70�,��_ �T .�� �W� _�y <br />O�,�r,cr �dailAdCress C�ty Sla'e�Zip 1-6ene <br />Tenant Ata�lACdres Cty Sta!elZlp fCenc <br />� f-iZCo m I l g?jf N+vM �siE�c �ar1u.�.o4 lu , kbTN��, w� 9f3D� l H1�'�. <br />----- — -- --- --- ----. -- <br />Eleeincal Centiaelor t��a i Acdress Gry State2p Pnono <br />_POwF2't �!+ q���. � 27, �3�. OJ <br />-- . -- <br />Slale Lir�nse iJwnbu Cer.tncl Price ul4i'ed� <br />� ��G�� �� <br />Proposed Use of Building <br />�quare Footage Qf residenlial new construction, remodel or addition) <br />Num� I f�vices (II low volta�e) <br />Oescription of �Vork tu �e L'nnc: <br />� Fl8 <br />CITY 0� [VERETT LOCAL SALES TAX CODE IS 3105 <br />aF <br />� <br />Conlact Persan (Plan Reviev�) <br />I hereGy cerGfylhat l have readand examined Ihis applica(ion and kno�v (he same (a be (iue and <br />correcL All pmvisions o/la�vs and ardinances 9oveming fhis type of wark �viUGe wmpleted <br />�vhetherspecified hcrcin or not 7he granling o/a pem�if dces na( p�esume fo givc aulhonty (o <br />viulafeorcanceltheprovision. /anyolhers(ateorlocalla�vregufafingconsfniclionorlhe <br />peAormance e/constmction. i lrat I arn aufhorized by Ihe amnerof this preperly �o perfonn Ihe <br />�:�ork Iarvhich applice 'en is ade and 1 comply �.vilh Ihe Sfa(e Confrac(ai. Law 18,27 RCW and <br />29G.200 WAC. � � � <br />1 � <br />FEE <br />7� �� <br />PERPIITN <br />E►�oB-C��j <br />