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ELECTRICAL PERMI�' APPLICATION <br /> CITY OF EVERETT PERIVIIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA P8201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org �`I A ` I ,t <br /> 3003 u� Cas� ro ' �' <br /> rJc ,.a W/JsS+ P��� �a + �� yo9..�ZZ <br /> w �s+ 1-�l1 ML�'C i R� . Ac,�os s ���,.. �.,+ w 7 <br /> r��� ;�� C���+�- r��.��� <br /> PROJECT ADDRESS <br /> � o �. ��«e.F�F ---- --- <br /> __.... Y _—_. . .__ _._— <br /> Owncr MmIAAdmss C�t SIa1cU�p Phonr. <br /> Boein _-- --- ---- _ - -- <br /> lenanl � Ma�innnress c�iy Stalc/l�p Phone <br /> �C--,�i,�.e4✓�L. CI c c-E�. �¢r�^^--,.. .� ylG1 - - <br /> FledncalContracto� Ma�lACdress Gty � State�/�p Phone <br /> Slate License Number pequired) Cdy ol Evere�t Ousmess Licr.nse Number(requhed) <br /> $ � K_���8_n_ _.— . — _ <br /> 1'ioposed Use ol f3��dd�ny Conlrar.l Pnce ol Woik <br /> Squaie Foo�age QI residenhnl new conslrucUo�, remodel or adddion) Conlacl I'cisonfGontacl Numbedl'mad � <br /> Number ol devices(II Iow voltaye) <br /> Dr.scnplion of Work b Oe Donr.� . ._ICC.��[._�� �_�—�7 •'F��_ ,f�o �• _�r'•s.r�—S___l,.i � L[�_[J ._ _. <br /> a <br /> 1-�S��..�l�_C.� _ ,v` w S i.-�z_ I i��-1_S_ �-�- r�.' �w (.�!r s -1-_—_�r. �•_:� <br /> �. a:_,._rn��'wLL�.`� � -U ��_ �� �.a!+-.�_t S_�� l�ti� .�••r✓. ce._ CG� iv_-1- � <br /> -��ro..�. anc� l-Lc] _ o1 l3� (�G . in �r���l.. . - - - <br /> F[I� <br /> I CITV Of EVERETT LOCAL SALES TAX COOE IS 9105 C� I �' r �� I <br /> �� <br /> i <br /> 1 hr,rcby trnfdy fh;d I hnvc mnd nnd eronnnnd Ihrs �ipplir,.dinn nnd know(hc s�unc lu hc bur, nnd _ - -_—_ . <br /> r.orrucf l�II OIOVI510115 OI I111Y5 nnd nrdinnnr.rs govCrning Ihis typn nl work wdl hc complclr,d - � -- <br /> whefhni sper,dicd hemrn oi nof Ihu qnnlmy o!a pemuf dous nol P�e�urnr, to yrvc uufhnnty lo VFRMIT J7 <br /> wolafn nr c,incr.l fhc prowsrons o!any othcr slalr, or loc�l law rr,�ulafm�currsuuc6un ur fhc � I � �� . I � � I. <br /> � pr.�r/onnancc ol corrsGuchun f haf l.'vn auffromed by fhc uwncr v!Uris piuperty fo pr.�lonn fhv i <br /> � wnrA fui u�h�ch app6r.olion�s nr;idu��nd I r,omply wrth Ihr, Sfnfc Gonfmr.tors l rnv 19 2/RGW nnd --- .-- <br /> 796 200 WAC <br /> — -�}-/�1 /�J,// — -- `� � �5� � `�f----- ---- <br /> ignatwc —G' Uatc <br /> � r:��,�.i��m��,,:nia - __ ._ -- _ . . .. ._. __ - . i <br />