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� � <br /> i _ _ . <br /> _ _— — _ _ _ _ 1 <br /> i ELECTRI�AL PERMIT pPPL�CA�'IOfV ,' <br /> � CITY OF EVERETT PERMIT SERVICES ' <br /> I 3200 CEDAR STREET, [VEItETI , WA 98201 �S'4 � -1 y � <br /> j 425-257-8810 - PAX 425-257-8857 - .wnv everett�.va org � <br /> i � ��� Z��C�._Q�� i <br /> � / I <br /> �oz C'iP��/��0�� � <br /> ; <br /> i PROJECT ADDRESS LU�O ! <br /> � (.� L�2/�t/ � ' �do3�v <br /> ��� ��i�� --���s���- - �- - - - --- --- __ - -��� <br /> Ov:ner MaJAddress Giy S�a1e�l�p Phone � <br /> I <br /> i <br /> - 1 <br /> Tenant �da�lAddress Gly Slale2p Phone <br /> i <br /> I <br /> i <br /> f!eclncalConirador MadAAdress C�ey Si�te4�p Phone I <br /> --�-!1---- -�- . _/��'_ <br /> ; ���e �-�6 ��✓� � <br /> - .__ __ <br /> I �tate l�cen,e Nu•nber Contr,�til Pnce ol S'!ak '. <br /> ' � � I <br /> I � - - - ------. . _ - ----- - - � --- --- - <br /> !'roposed Usr of f3ui'd ng Contact Pertion �i'lan Riw�e;i) i <br /> i <br /> Square�age (If resdenhal nev:corstrur.hon, remodel or aAnd�on) � <br /> I <br /> Nurnber of devices (II luw vollage) /` � � /'l � <br /> �//%l¢/ `,(/,,�,,,Jy� [�t�QrA',1� � '/{Iµ�/� J 1�p� ' <br /> U�s;cnpfun of Work lo Be Dane �"`^ - �,l`.��"-C- _ _ �J` " --_ - • ._ . . <br /> - /�,. -- V - <br /> ��_ /�Q�_/20�/ _ C�75 <br /> ree- <br /> CITY OF EVERETT LOCAI.SALES TAX CODF IS 1105 �� � I <br /> I hereGy cerU/y flrat I have read and examined fhi:apphcaLron and Hnow fhe sanie 10 be hue and _—' - _- _ ---'---- - <br /> l � <br /> conecf /1�1 piovrsions ollaws anAorArnances yovemin9 fhis typr, ol�vork will he complefeJ �- � ----- - -�- I <br /> �vhefher specdred hcre�n or nol. The gran6ng o/a penruf does nof prn.sume tc grv�•auUronty(o PCRMII N � <br /> v�olafe or canccl fhe pro��siorrs ol any other s(a(e erlocal laro reyulatrng consh�,clron or fhe � <br /> perfocnance oI conshudmn Ihaf I r+m authonred hy fhe owner o/fhrs properiy In peiPo�m fhe E � ���� -� i <br /> �vork lonvhich eppGcnhurr rs n�ade antl I compl�icdlr fhe Slale Conlractnis I a�v 18 27 HCW and , <br /> 296200WAC -- �- ---- .. .. -__.. .._ - --- - <br /> � ���� J� � <br /> - _ . - -- - -- - -- - -- -- <br /> �gn re . . � ate I <br />