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�-" f"� / I <br /> ELECTRICAL PERMIT APPLICATION <br /> C�TY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257•8857-vnvw everetiwa.org <br /> 11 ' ,i � I� ' 1�� � <br /> .I�.t11 11 ti��.� i :1l � �.i i.�: t . f '�1 �l:� R' � i <br /> � <br /> PROJECTADDRESS <br /> ` JI � , � 1/ � ' ' �!� 7 1 / i k1 i � <br /> F�n(- 'h�' �i t�'��'��'�� 7 !�n �1.V1 l (��:,�i,.� �11...' Ll�✓/Nil ll,.� =/��,A�'4 t�>- )) ) '4 )'.l <br /> Owncr ' A1ail AOd�ess Gly � Slate2D Pno�q <br /> S�IM� <br /> Tr.nant Mad aeeirr.s Cny Sia1c2�D Pnonc <br /> ���r��i>,,��� F<<.t�iG( ��„�,�1��� �'11 �u' 1`!5•�^� ��C!:r�'ti�; �f Ip �f;l� � .:iK� yl4 -�L1/ <br /> J <br /> Ele[�nwl ConlreCto� Man AC,lress Gty Siaie,LD Vnone <br /> ( � _ "r :.� ! _1�– <br /> :, - ,_,, . . - _ � � EG' IS r001) <br /> Slate License NumDer Ccnl�aa P ce of Wmk <br /> � ,� GA�Ax �Sqo��Z �� , <br /> �...�,'.wii+:! '.�.� r� (_�I.�.1�.p�N �r-�A�,o�,'�i �" �v <br /> IProDosetl Use ol Owld�nq Contatl Person (Plan Review) <br /> �� Sauare Foo�age(ii residemia�new construtbon.remoael or xed�tian� <br /> � <br /> Number ol aewces(Il low voltage) <br /> Oescnphon ol Worw io Be Done <br /> i �:�!.lrl�, ;<,I Trr �E_t�• , �) !rc_Pv,f, — — <br /> J- " <br /> 7 ' � <br /> I !� P(���1! (�.l rl��1 �� _"__' <br /> � _ __.__. <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS]705 �Z r (�O � <br /> I1 hnroDy c!rnR�ry Ihnf I nnvo rond und e�dmmeJ fhis eppLcetron and know(Ire sxare lo he Irue and � <br /> rormcl Al�p�ov�sions ol Idws antl ortlrnanres govommg Ihis rypo o!Nro�w wd�Ao rnmpiofod ------ — <br /> wholhar sPecihnd hnmrn nr nol Tho yrdnli�9 0/a pc�mA Aoos not prosumo fo qrvo nul�only In PERMIT# <br /> nolple oi cincgl Ilre prpmsrons ol any olhor Stale or Ixal law mgulahnq mnslmd�nn m fhe � I D� <br /> peAonnanro o/conslmc(ron Thal I arn aufNontod by fhe owao�o�fhrs property�o pedo�m Ihy � I D I � <br /> wo�h!or wnich oppM1cahon is mnAe nncl I comply wrlh tho $fafo Conlracfor, I.nw �B77 RCW and <br /> 296 700 WAC ^ <br /> i � <br /> 1��9,�. ; !�,��- �.� � i/�; ��� �y - <br /> , <br /> SrenaWre Uate <br /> nr v,•m s:o�� <br />