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� � <br /> � ----- -- - <br /> — ---- — ------� <br /> ELECTRICAL PERM <br /> IT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CtDAR STREET, FVf_RE1T, WA 982U1 <br /> A25-257-8810 - FAX 4?5-257-8657-www everethva.org <br /> APPUCATIONS ARF ACCEPTED FROM 8 AM TO 4 PM �O - S �/Z <br /> i <br /> l.,3 � C�� � <br /> PROJECT ADDRESS <br /> �.g.o,J S�-u2rZ �3 �-S CA.a.i � �/��r �J�''.�3�-LS-3�(3- '1��l <br /> pwner <br /> Mm�addmsc Ciry Sute2�p Phono <br /> Al � ------ - ---- _ <br /> Tenant Mu�lAad�e,s cM stote2�p Phoro <br /> �.�� �� `���� ��3_��._ w�1_�o� ��-�8s- s��s <br /> MeilAdtlress Sta�dZl�_,.,._,_,�.___ . Phone <br /> _ _EleUricalConhador.- ---- -- -----._ ---_ _ _ . _.._�'h'_ --�.-...__.-- .-- � - _—_ .- ; . <br /> � � �t.� ..� <br /> p}�Y_'�O(�S�i'� ��' ---------. ._ —yv-� <br /> State Ucensa Numbor C.onlract Pder.of Work <br /> S�i� �_ � ��-?F�'J�Yj�C�ti- <br /> P�op�sad Usr.ol 6uilding Cuntod�'ersun (Plnn Rvview) �i <br /> �I <br /> Squaro f"outayc(II residentlal cew conslrvclion, remodel o��ddlllnn) <br /> Descriptlon of Work tv DC Done. ,L����y'. <br /> W��-1�L� bul�C"1-F�'S � 1�!�''M (� � <br /> _ 5�(s'-�'v� --- - ___ <br /> NOTG: �ERN RACFWAYS MC OR AC CA84UIRED TO <br /> fGF �0�� -- <br /> � <br /> CIT:'UF GVEHE'fT LOCAL SALES TAY CODE �S 3109 <br /> 1 heroJy�erGly fhOf����a rced end exnm�ncG tbls applicotinn nnd know fho samr,fi bo tnie end � I�I �_ O�7 � <br /> r,o�ocl. AIf provlsions ol lo�i�s and o�dinantes poveming Ihls lypo ul work wfll be rnmplotetl "7 <br /> whethcr spociGed horein nr not The granGn�n/a pomtd does nof msumo lo yrve authonty to <br /> v�olate orcancel tBn provisiens nf eny olhersfate or foculln:v re�uPafing ronsWr.tlon or the <br /> prAo�mnnce of consfruclion That 1 em authanzetl by fhn rnvner cl thrsp roperty to porform die <br /> 296 200 vWAC e�'p��catron ls made end 1 comply tvrfn me State C%o;ihacfors Law 18.27 HCW end <br /> �QQse ____�� "-�'�L � <br /> ,- - UB�� I <br /> J <br />