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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, VJA 98201 <br /> 425-257-8810 - FAX 425-257-885i -www everetiwa org q_a6�+3 <br /> C �3a9 -lb( <br /> '�0�.3 U�o•--k C ns�r�r. P�z,.rl �f�5 7�1 C� <br /> PROJECTADDRESS <br /> -�_ � i '' � weS'r ('a5���QP-� rl FI�V tt. l�)�3 <br /> Owner Mai ddress Crty StalalLp PM^e <br /> S�,�r,e <br /> Tenanl MaIIAAtlress C�ty Sia�e/Lp Phone <br /> �riv�n Com�n �n�• z,�, ��.�� n� KP�rrt- w�A_ 9i�c1�z <br /> EIC'C1fiCdl COpIf3C10i MaR ddress Ctty �IatatZtp P�wno <br /> C( <br /> y1 � � � �� 32, I <br /> Sla�ic��u Ae�� Conlratt Prtce of V1(ork I <br /> _(,` cs ��t �ai ��uL�lp.rt_Z f Ci��(��c�1 — <br /> Proposed Use of uil�fng Crmlt+c— l�crson (Plan Revi?w) <br /> Square Foolage(U re;idenlial new�,onstrur.lion,remodei or addiiion) <br /> � <br /> Nuniber oi Ar.vir,e;(If low voltage) <br /> �escapGon of WorM lo Be Donn- �ri.x�_�_ C\ ����_LL�__�(�111s-�CL15d��� <br /> fEE -- --- <br /> CITY OF EVERETT LOCAL SALES T�R CODE IS �105 � �� �� <br /> 1 hr.reby cerhty fhaf I havo mad And ex�rnmeAfhis epp6cahon and know fhn snmr. b>he lruo and ______�____.. ___.____. <br /> r.�ncr.f. �II pmvrsions o/Inws onrl ordm;inr,r.,gaveming fhis fypr. nl work wJl b�;r,omplaG�d ----- -----...---� <br /> �vhr,fhr,rspr,olirrdhcrcuinrnuf Thogr;mGnqolapenmfdne:nofpm;umofrigrvPuutAontyln PERM[TN <br /> vrnl;dc nr r.anr.cl fhr, pmvis�ons nl nny olhr,r sfefr, o�bcal faw n:yulahnq consfrvr,�ion ar(hc <br /> pcilomiancn ol conswcfion 1 hnf 1 em nufhanrr,d by fhn ownr,r o!Ihis pmpp�fy lo perfnnn fhe E � 7`)�� _ / � � <br /> woik!or wfrir.h.���i��:.,non;s mndo ond I r.omply wdh Ihe Slale Cnnhacfors Law I R?7/1CW and -_—_ -----_-----�_---- <br /> 79ti 70p AC � <br /> L. <br /> , <br /> ' , ���k/`-- � ��CP�� <br /> -- - - -- - --- -------- - -- _.._ <br /> Siqna rC - ---�Uat= <br /> ro n;rn v+ivn <br />