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7O/.Ot<J59V6! Fiom Ideai Fa.11um6er:51-7i5�8886 Page:ol2 <br />ELECTRICAL PEF�MIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX A25-257-8857 — wvrw.evereltwa org <br />��U� (�VPti'GiV�on (.�,4�t� '�e{-i <br />PROJECT ADDF.ESS <br />1.LTd A(:dN59 <br />1 <br />cny <br />Sfa;o2ip <br />Pr,ono <br />Tenant hlail Addru:s Ciry Siatc/Zlp Phorw <br />Z S� <br />�dc��c. SerV�'�cs 5ii3 PAci�.'��s �io2� � 1-� r�� u.A `184L�t i�Xe7LY� <br />[IoctriWlCanlcaclor h7atlAddrr. C�ry SW!oZp Phone <br />�ci e Pr L. SN S 7 6�� <br />State L�censo Numbor <br />R�etz� 11 <br />Proposed Use ol8uilding <br />Squaro Footac�v (II residenlial new consUuction, romodel or �ddition) <br />Nuntbcr of devicos (I( low voliago) <br />'7 �(_l <br />Contract Price ut woAc <br />ConL�cl Pe!son (Plan Ruviuw) <br />DescnpGon of Y�ork to Bo Dono: I� 1' �aC� � r�_�--�� �� �- V��"� n Y�U�� S <br />w � Yl� N e� iz� � r-v (c� � <br />CT' OF EVERETT LOCAL S/LLES TAX CODE IS 3105 <br />1 ho�oby cortily fhat 1 have road ar.d ozaminod (hls appGcaUon and know Iho same fo bo fiuo and <br />conocY. All provisions of lows anU ordinancos goveming tliis ty!w ol work �tiilf bc complotod <br />whe(ho� spocifiod herein or noL The g�nn7ing ol a permit doos nol presumo fo ��vo autlrorify fo <br />violalo or canccl fho pmvisions o! any ofborste(e or locallaw myulnling conshuction orlhe <br />pcdormanca o! conslrucfion. Tha! I am au(honzod by the owner ol Uris pmperty fo pedomi fhe <br />work lor which app��cahon is mado and f comply wdh fhe S(ato Confrodors Lnw 78.21 RCW and <br />296. 200 WAC. <br />Sigr�wo <br />qE�t$fD 3'.W l <br />FEE <br />� �• �O <br />PERMfiN <br />E � ��� �0 ( D <br />