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OS/27/2015 01 ?7 CE784 P 001/001 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREFT. EVERETT, WA 98207 <br /> 425257-8810 - FAX 425-257-8857-ww�u.everettwa org <br /> (o a 1 S G � l� � 2iJ ��2� <br /> PROJECT ADDRESS � '�„ri <br /> f C� (V <br /> –1��1��—� � n) i4,�s �I1.�-- - — 1_�.�0 _lir��— <br /> Owner MaJMeress Clry Sute2�p PAone <br /> 7r.nBM MadAdd�es� Cay Sleto?ip 9/Phono <br /> /� <br /> ��fk--�.� 1'o I��x !Y_��"����.z��---`J'� �i�� <br /> Elecincal Coniractar Mud Addmss Ciry SL7WZip f'hono <br /> ��'t���r�'J' /5�2�M �1v ��� <br /> State Liwnso Numder(requrted) L�•�O�EVNMB�USIf1NSS LICXfISP NURIbP./�fBq111fflU� <br /> SFjL _ � 6= <br /> Vrovosoe Uso ot Buileing ConUad Pncn of Worx <br /> I �--�—�-� - ---- -- -----_-_. ._ _._- � --- --- - �---- <br /> Square Pnnqpo(If residonlial nmv c»nsWelion,remeEel or.-dtl�4on) Contael ParsoNContaet NumbotlEmatl <br /> Numtior of aov�cos Qf low volwgo) <br /> DoscnPlwnofWorkloHnUone: __��____OU! u .j„f,�� �--��1�----- <br /> � l i1 C_U t(S --- <br /> rte � , <br /> CITY OF EVERETT LOCAL SALES TAIf COOE IS�105 SD ��f <br /> I hnreby ceiLly fhaf I Iwvn ieed end eieminnA Ihis eppl��i�pnn end knaw ihx sumx 10 be fMA nntl _ <br /> �om�Ct. AU provisione ol laws antl obinoncns povaming fhrs fypu d wurk wiu Aw mmPlpMtl <br /> wAofho�spoeifad�oroin or nof. Tho gmnting ol o pormit does no�O�sumo�o,q�va euthortty�o p[RMIfJt <br /> violafo or concol t�o provisions of any olher sfate or local low rxgula6ng mnsWcfion or fhe ^ <br /> por/nrmnncn ol rnnsMalinn. Thot I em uuUiarirnd hy fAx ownnr n/th�s propnRy lo perJorm Ihe C I 'l O S _ I s � <br /> work lor wMch ap licaGon is made and 1 cnmpty wiN Ne SYafo Conlydcfors Law 18.?7 RCW and ✓ <br /> 286.200 WAC <br /> �/� __�. � � �� <br /> .igwturo te <br /> mscn aeaezar� <br /> �_�—_ _ . __ .. <br />