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—�-- <br />— �— -- <br />:CTRICAL F'ERMIT APPLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT, WA 98201 <br />4�5-257-8810 - FAX 425-257-9857 - w�w� everelt�va org <br />V \1,L�t,'1� SG7vtfi2�i C:�� <br />�� p� �VEl2U2�`�� wf�'1 <br />� �n=�1,F;r� � I,�r�k �i'� a 0 � <br />PROJECT ADDRESS <br />U S a Y� t�.,f` <br />Tenant tla�lAdaross C�ty Statc7�p Pnonc <br />�l h� <t- f�me.�U ���C-tY1C <br />�1�,��e-9t'�no,«-n r,�1 �,\S�A�n=, tt �f�� �nf�__ � `�`� �G <br />Eledncal <br />A1.PNA t�� �11� �-K�n <br />State License tJumber <br />Proposed Use af Buiitling <br />Idail PdCres; <br />Square Footage (II res�dential new construct�on, remodel or add�uon) <br />Number of devices (If low vollage) <br />C�ty <br />State2p <br />P u �. a� <br />Contract Pnce of Work <br />Contact Person (Plan Rev�ew) <br />Descnption of Work to De Done� � 1�l \1 /\ 1,�/ '� �' V M'� 1 v� 'J ��w I� <br />F�� k�—fc-r�Gl, <br />CITY OF EVER[TT LOCAL SALES TAX CODE IS 3105 <br />I liereby cerLly thd! 1 l�ave read .+nd er�mmeU 17u5 aJ;PLc:+Lon :urr: know ffrP :,,��ne fo be 6uC and <br />conect. All prowsons o! laws ancl ordmances go✓enuny Pus type o/ r,ork �.;i0 he cnmpleled <br />whefher specdied berein or nol The g�anfiny ol a permd does not presunie fo nive au!lionry fo <br />violafe or Cancel fhe prov�sons o! any ofher si.de or lo[.+I la�v reg�dann� consl�uc'ion orlhe <br />perfaniance o( ca;sfruct�on. Thaf 1 am aufhonled hy Jie ovnte� ol lhis proUerry (o peAom� !he <br />:�ork (nr �rihich a, �plication is made and � compty �viR� '��e Stafe Conlracfors La:v 18.27 HCW and <br />296 20 WAC �\ f <br />� n/� (/ U�l �l ,. � 0`� 0\\�-1 <br />���,-,�E� �.�� ,� <br />Fncnc <br />FEE <br />l7750 <br />PERr�trx <br />El�-[O��f3� <br />