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- -- - -- _ --- <br /> __ � - -_ - _ _ - --- <br /> i ELECTRICAL PERMIT APPLICATION <br /> ' CITY OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAR STREET, EVERETT, WA 98201 <br /> i 425-257-8810 - FAX 425-257-8857 — www everettwa org � t��g_� � <br /> L <br /> g -as-�+� <br /> �1� �Pr�.�r�-B►1��-���1 <br /> PROJECT ADDRESS ����8� <br /> ' �o��1�2a `���� <br /> I 1�C�4_�rata�.,�-�- —. — _�x�- -- - —1 --- <br /> IOwrCr �dad Atltlress C�ly Slale�7p Phone <br /> � _�.��E�n�+�t`�h _2-31���r��_d--1,.�5�$ �_�S� <br /> � <br /> ''�, 1 enen� 1.1aA Atldiest� C�.ly Stdte/Lp Phone <br /> I', _ r ' 231 S�r��_(,.�.�-�) _ ��28'3� _ <br /> ['CCh�I „�or ldadAtldress �—�'— �� C�ry State�hp Phone <br /> ��I Stale l.icense Numbcr (requ�ied� Cdy c1 Everett Business License Number(requued) <br /> � ►r���1 � --- -- <br /> Propoe��ed Use oi Nui dmg Contracl Pnce of Werk <br /> I ---� --------_— � 1 - -- --- <br /> � Squaie footaqe(I(resiaenUal new construcuon, remodel or add�bon) Contact Pe�son/Con�act Numbeil[mail <br /> Number of dewces (Il low voltaye) <br /> UeS�ii��lion of VJ��ik �a Hr ponc w�n ��Ah�,��„�r�� � �I.IJ�. i.�.�-L:..��^�'� <br /> Y�.�r',�-`'J0� �'��i�t�fbl� C��r�� <br /> Q�.�, un.n�_� . _ __ — _ — — — - - <br /> FFE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �1S� <br /> I herrby ceAJy flrn� I have read and ex��nuned flus apphcabon anA know(he same fo be huc�mJ . _.._---.__ - -. ---� <br /> conec� nu��o�,s�o�,s or iaWs and ordmances govemmg Ilvs fype ol rio�k n�dl be coniplefed - <br /> whefhcr specd�ed herr.in or noL The 9ianGng o/a perm�t dor.s nol presurne fo grve aulhonty(o � PFRMIT N <br /> violefe or carrcel the p;nvisions ol any ofhr.r sfefe or lor.al liw�egulahng constiuchon oi the �� I �� � O OC <br /> perlonnance ol cons(ru�6on rhaf 1 arn authon7ed by Uic oivner o/lhrs property lu pedorrn Ihe J <br /> woM lor whicl� applica6on�s made and I coniply�i�rfli fhe Stafe Conliactors La�v 18 27 HCVI�and - _.-_-_--_-- ----_ <br /> 296?00 W/1C <br /> --- —____—. —��GV��----- - <br /> Sign Wre L'ale <br /> kFVr5FD0ED6/10N— _—_ _"' _ ' _ ___�__I <br />