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� � <br /> �LECTRICAL P�RMIT /��'�LICA�"I�(� <br /> CITY OF EVERETT PERMIT S�RVIC�S <br /> 3700 CEDAR STREET, EV[RETT, WA 98201 <br /> 425-7.57-8810 - FAX 425-257 8857 -wwi,v everettwa.org <br /> //�f� ChPs�nr.c f C-� <br /> PROJECTADDRESS <br /> 5�12�LI�C���IL•�'��r�o�ln�h �9�8Z96�71�J1 � <br /> Cwnef MadACdress Qty SIaINLp Phono <br /> Tenanl tda�l ACdress Gty SIaIMZ�p P�onc <br /> �lL1�J�P.�iC�� �U319 f3l)���#VeS'���t,r�.�h,l.���Fs29,�.Y�5�73• l� <br /> [lectncal Conlra[br htad AdCress Cdy StaleQ�p Pnone <br /> �J_L�l!€L�L_�l-U�A!_-- -- ---- -- — ---- — <br /> SIaIe l�Cense Numbrr Conlratl Pnce ol Work <br /> Pmposed Use of[3wldmg Conlacl Pcrson (Plan Revicw) <br /> Syuarr. fuolage(If residenGal new conslruction, renmdcl or addilion) <br /> Numbcr of devices(Il low vaitaye) <br /> Dr.scnption ol Work ta Bo Done. ___ __ _ _ _ _ __ _ <br /> fEE - - --- <br /> CI7Y OF EVERET7 LOCAL SALES TAX CODE IS J105 O� <br /> 1 hmeby cert�ly fhaf I have read and examined fhis applicafion and know(ho same fo be frue and ___ <br /> correcf. All prov/sions ollaws and oroinances goveming(his type o/woM�.vill be complefed — <br /> whr.ther spec�ficd hemin ornof. The granting o/a pemiil does nof prosume lo give aulhonty fo pERMIT# � <br /> violale oi cancel fhe provisions ol any o(her sfa(e orlocallawrngulafing consfruclion orlhe �/ <br /> peAormancc o/ronsfmclioa Thaf I am aulhonzed by fhc owner o/fhis properfy(o pedorm/ho E I �D�� I 3 X <br /> nroik Por cihich applicatron is made and I r.omply wrlh Ihe Slate Conhacfors Law 1B.27RCW and C> <br /> 296 200 WAC. <br /> S�i���b/� <br /> Sionalurn Dale <br />