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�f0� <br />os��rzoi� �5:oe <br />EL�CTRICA� PERMIT APPLICATION <br />CITY OF EVEi�ETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERET'T, WA 88201 <br />425-257-8810 - FAX 425-257-8857 — www.ovarettwa.org <br />.• / • � . <br />I PROJECT A�DRE39 <br />Owner <br />h1e11 Atl�reFn <br />Gly <br />9tnle/Zi� <br />-:196 P.00ZIOU� <br />P�oro <br />�LJ ��0� EV P1,Y,EEti% w�Y VE �'C� WA1�18Z�3 <br />TenUnl IdaUAdCrocc Clty StotoTp Pncnn <br />11iB�ES�-��c— q00 nl 3��,T. ��� ic� S�a �� wa/�eio-� 2�c,��;3•Ze� i <br />ElocUlc�l ConVaclor Mail AC^.ruuu City S:atu2lp Phcno <br />, �rAnl � � `iCo�U� <br />Slate License Numb9r <br />Proposed Use of �ullding <br />Square Foctape (II reeidantlal nnw construction, remodel or edditionj <br />h'umber af devicos Q( lotv vol',npo) <br />_ �S��oU <br />Contrad Price of Work <br />Contnct Pomon (Plnn Rovlow) <br />� . � . i r. . � �. � � • , r � � � . <br />�I . <br />• • � � , 1� <br />C�TY OF EVERETT LOCAL SALES TAX CODE 19 3106 <br />I hoioby cortily fhof 1 hnvr roud and nxaminad this npp(ication end knowlhe same fo 6e We and <br />correct AU provlclons ollaws and ordinonces poveminp lh/s rype of work wlll be compfofnd <br />whothor opoclliod horo/n or nof. The grbnting ol o p�rmlt doos nof proaumo to qlvo aufhodty lo <br />v/ofafe u�cencal fhe provlsions ol pny ofher slnfe or/ocallmv repufnflnp cons�rucdon orthe <br />porrormonco of consfruction. ihat I om uuthoNzod Dy tho ownor ol fhls pmporty to peAorm fha <br />work for wnich applica6on is mode end l comp/y �vifh thv Stnfn Confracfors Lew 1Q.27 RCW ond <br />Z9G.200 WAC. <br />NFti�tiFD 11Y1) <br />FEE <br />(o � UO <br />PFRMITft <br />E 13t��-U3� <br />