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� I <br /> ELECTRICAL PERMIT APPLICATION � <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3zoo cEonR sTr�rE�r, EvrRrrr, wn sazo� I <br /> 425-25I�8810 - 1=AX 425-757-8857 — �.�vnv everettvia orr� <br /> ci _ ay _,4- <br /> (- IU I Ll L��{-c�O s � <br /> �9�� c���- s� � <br /> -. ; <br /> PROJECT ADDRESS <br /> 1 i <br /> S/�(J O/ 5 �ia�, ' <br /> -- -- ------ -- - - --- - - - --- - , <br /> OWner ---- �10AAtlr,ress C,:y - - Stah.V�p PPcrc i <br /> � <br /> ___. _ . . _ _—._ '_"' '_ " . "'.— ' . ' '___. _—_—' _ . '—_'__'_' _. . � <br /> lenan� 1.ia.t�ddr.,ss C'y S'e�e�1P P�cne <br /> ���S G��/� /�� �S� ��'�(,.J ���in�c�00� �/� �15�9.� � <br /> E�edncal CcNracter L+ad Ad�m�ss Cry Stale�J�p Pnonc � <br /> �'� C�O3�k�' �S'D��--� - ! <br /> SIllICI �rer;� N„n�b�r _ — ___ i� nirditl�: ." i�::rrk � <br /> / I <br /> PropescJ Us�I[3ufAmg Conla[I Person (Plan RCvievi) -'— i <br /> � <br /> /�0 � <br /> Square f�ootaye QI revdenlial new consliuction,remodel or adddion) � <br /> � � � <br /> I ----. . .'--- . ..— <br /> Nunit��cr o�J��vices(II low volfage) n I <br /> Uc;r,r�pt�on ol Work l0 11e Uonc 1�`�'� y v n� ����1 . / ' ���- I <br /> - - — - - -- - - - --- .._ . I <br /> - ------ --- � --- ------- � -- - - ---- -- �- - I <br /> FFF <br /> CITY OF EV[RETT LOCAL SALES TAX COOE IS J105 Q� C� <br /> ( > <br /> I heir,by cerh/y lhaf 1 ha:e rcaAanJ cearrnncd Ih�s appb�:,ihnn;�nd 6now fhe sanic lo he f�uo and <br /> r,ormcf All provisrons olldws and ord�nances governiny fhrs fypn ol wnrk wdl be completeU ---- - - - -�1 I <br /> whefber spenl� hcirm oi nol The g�anliny o/a pernuf dnes nnf presuma fo give aulhonty fo f p[HMI I d � <br /> v�ol;rtr, o� ncd f piovrs�uns o/any olhri slaln or local/aw�egulnfin9 constnxhon or Ihc I r � l�O� _ O/`� � I <br /> perlomr, ce o/con huclmn ihal 1 ani aulf z by(he�n:�ner nllhis properlY lo prr/urm(he t lJ � <br /> woik!o which dppG �ahun ma r I c rt� dh�hr. Sla'r. Conhacrors La�v 18771iC1N ar.J L_ . . .--- .-- ..__ � <br /> 296 20 WAC <br /> - - -- -- „�� y=a°�- � <br /> Signatme I <br /> ! <br />