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� � i <br /> i_ _ � ; <br /> ' I <br /> � ELL�C�RI�AL L�E�lVlt;� APPLl�ATI�NJ <br /> � <br /> � CITY OF EVERETT PERNIIT SERVICES <br /> I 32C0 CEDAR STRE[T, EVERETT, WA 98201 <br /> 425-257-88i0 - FAX425•257•8857 --vnvw.evereltwa.org <br /> IAPPUCATIONS ARE ACCEPTED PROM 8 AM TO 4 PM <br /> I <br /> � <br /> � 28 'L� Cal � �,iutic,� 5 }. ZGO <br /> IPROJECT AODRESS <br /> � <br /> i S�c,�� �^l0 7 C.�,!(, � /�-�,� �vercN. l�t�/�- <br /> I � <br /> Owner MadACdress Ciry StatelLp Phone <br /> � <br /> i yt '�� �� � c.�J� <br /> I Tenanl MailACdress City Stale!Z�p Phone <br /> I �j� 1/11 `-,V,"^_^"-�'�cnZ.^S �23C3 4u �^V�c.� 1'�-G � S('������.� `�'� /�/W41Rc CVG gYJ z7� <br /> � Eledr.cal cntrac�or MailAddiess Gty S�ale�2�p Fnone <br /> iI SK.� L=CT � 3 7 �� <br /> Slate Limn e Number Contrad Price of Work <br /> i <br /> i <br /> IPreposed Use of 8udding Conlact Person (Plan Review) <br /> I �UpCj s �z -�-�. <br /> j Square Foolage Qf residenlial new consiruclion, remodel or adddion) <br /> + L'escriplion ol Work to Be Oone __ �'"�S '��� V O'�� �•"� � ��i V"� <br /> I 1Q '� CiC�i( 9 S <br /> � . <br /> I <br /> 1 � <br /> I iJOT i= WIRING IN NON•DWELLINGS IS REQUIRED TO FE� <br /> I HF W RACEWAYS, MC OR AC CABL[ . y� <br /> �;(� . 5c� <br /> CITY OF EVERETT LOCAL SAIES TAX CODE I5 3105 <br /> !hemby ce�Lly I;iaf l have read and examined fhis applrcation and knc�vlhe same l0 6e Irue and <br /> � rorrect. llll prows�ons o(la�vs and ord�nances govem�nglhis lype ol r�urk�ri116e complefed <br /> I �•,helher:peulied heiein or noL The granGng o/a pennrt does not presume 7o give aufhonfy!o �j�,a - �� -� <br /> . ,;el.3f�or canrel the provisrons o/any otherstafe oNocal/a�v�egvlahn,q cons(rucfiai or(he <br /> '� pPdo�mance ol cons(ructien. lhaf i am aulhonzed by Ihe cr.nero/fhisp rope�ty fo perform the <br /> �, n-ork(or whrch appficafion is rnade and 1 compty�vdb the 5lafe Contraclors Law 18.27 FCW and <br /> 296 200 W� <br /> � Iz � ZI - !� <br /> ~ I <br /> — ---- - ----- - - <br /> E�anatwe — - oale � <br />