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- - - -� - ! - <br /> , , <br /> � ELECTRICAL PERMIT APPLICATION ; �� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAP, STREET, EVERETT, V�'A 98201 <br /> 425-257-88?D - FAX 425-25%-265� - ::rr:� e��erett�.va org <br /> l.S.,�.-� Cc��� s <br /> PROJECT ADDRESS <br /> r S 33� <br /> ; G/�s.�.�a �+ 4�,�..�I.�.Z. cc, / f�l'�y� L—t,P� 4,,L 9�1�P1 '9 sZf� <br /> O:mer f.;a�in7ir=s, Gity Sta:o2�p Pnenc <br /> I <br /> �� Tenanl 67a-Inotl�ess Cr� Sate2ip Pn_n= <br /> .�5��/rc� .2r�/ 7.3 f�s � G..o.�T/ w.� 9�'�n 1 i.Z .�ss .��7 <br /> Eledncal ConlraCtor tAaJACaress Gty State�Zip Phone <br /> I <br /> � �� f� x'�F 6.Z.ZL�� � liG[. <br /> State License Number ConlraCt Price of Work <br /> � <<i� �� <br /> �Preposed Use of[3wlding Contacl Person (Plan Rewew) <br /> /2�G <br /> Squaie Focluye �I`res�eientiai ne�v cunstrucl°�en, remod!�I or add:t�un� <br /> Numbcr a�dcvices 111 low vollage) � <br /> I <br /> f.esr,�iplion of Work(0 8e Done� ��fcl iJJ p �,/�� I4. F� T 4a-<Q 2 ��OBivL j I <br /> ! O�LTU-I- /�i. /3.���. C /3_���1 GrZ 4c�1 iS���� Z Sis-,c,/�,_ �^--� <br /> �� <br /> FEE <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 � � , UO <br /> I hemhy r.erhly Ihal 1 l�a.e mad and eaanuned fhis opp6cahon and know Ihe same fo Ge true and <br /> co�recl. All provisions ollaws and oidmances governrng fMs type of woAc�vill be wrnp/eled <br /> �:hefher specd�ed herein u�noL Tfie grantmg ol a permd does no1 pmsume lo g�ve authonfy(o PERMIT-t/ <br /> vio�afe or cancel fhe provrslons ol any other slate or local/aw regu/almg wnstrucLon or Ihe � I � <br /> perfoimance o/consfn�ction. Tha!I anr aulhonzed by fhe o�vnerol(his property to pedorm!he � Q ' G� � <br /> work�or which application is made and I compty�vilb tlir Stafe Con(iacfors La�v 18 27 RCW and <br /> 296 20 AC <br /> n <br /> �Q�1� 'lI•—��'_ l� '�--� �� <br /> Signalme Oale <br /> �.:,. :.. � . ., � �I <br />