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- � - -�- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET EVERETT. WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 - w�r,nv everettwa org <br /> � � �q��� �lp�� <br /> , PROJECTADDRESS <br /> � <br /> ��vl ---.- �,��—�����i—��_�'�C�- .. �I� �Y�.�fl� - --- .. <br /> ���:ni�r '.1alAddre55 G!y t Sla!NLp P'w^c <br /> � — _' _ . _—__ _ _ _____'. .—__— ...______.. <br /> �endlil Iddd Address Cit7 S�ale'Ji; P'�� ne <br /> �� --� ,_ <br /> _.r���_������ �� +�!�325 _�3r�C�:,�� I�- � � `f�t�_u_<<�.-1{L�_7.��r <br /> � C�eeircal P,onlracior �.;;�d aUmezs Cd� S�atei:�p P•,om• ' <br /> �_ �T � <br /> St,ite Litei�sr IJ�,inbei _•ntract Pnc o Woi4 . <br /> �1 ��`��.C� �-.�El.A.� ��i.l _ `k�����W� ��_______.-. �. <br /> . �'opusrd- se ul 13�iW�rn� � Co��!act Person �P'an fiewewi <br /> jOcx� ;''�J -�t'���-�-1 <br /> Squaic Foolagr (�f resiAenUal new construtlwn, remcdel ar adA�t on) ' <br /> �lumbri of dewce� (If low vollage) <br /> �'�r•scnpbon ol Work fo Rc Dorr ����1 �L_ � ) J ��'�y ..A l���"t . aV�� ��'�L ��.�'� �� <br /> �� ' - --- ---�' - <br /> I � FEE ----_ - � � <br /> ' CITY OF EVERETT LOCAL SALES TA% COD[ IS J105 �LJ , 0�) I I <br /> � I h�vrl��,,���vhly Ihef 1 hd�r �r.�ul dnJ r�dnur�rd fh�s apphr.el�on ,tnd Mnori fhe sarne fo he Irue and '� . _. _. .__..—._. . . . <br /> � rnnc[1 �111 prorr5�ons nl Id�vs ;ind oidrn.'Inr�s yovrmmg fN;lype 0/�to�k �vdl AC[omplMCtl ---- '— � I <br /> rh.�fher spcolmd herrrn or nof 1 he grdnlmg o�a pernnf ducs nol proswnr. lo�rvc auN�onty fn � PFKMI ilJ <br /> ���.�I,�le or canrel fhe provisions ol any olher slt(v or local I,ns rrgiJafurg r.onstnichon or fhe � <br /> � C�'rlornrance ul CvrrshucGon Ihaf I arn au(honteJ by Ihe,�o�tnc�o!(hrs pruperiy lo pu�lorrn fhr E ��Q I ��D g � <br /> acnF lor e�hiCh anplic.'il�on rs madr. .�nd I compl}-n��lh the Slale Confractois I.aw I8?7 RCL1�anJ L_ .. _ _ . _ _ � <br /> i _ . .__. __ , <br /> .-'96?00 ul'AC , <br /> i <br /> � <br /> � -- 7/����__ <br /> ��. � _�-..�� ' <br /> -- -- -- --�/---- <br /> ��' Siyna / Oa;e __.___..__-- '. <br /> d � <br /> .. _., �:. <br />