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���- e���. � � �-.�e� � �-� <br /> ��� <br /> �LECTRICAL PERMIT APPLICATION ��� <br /> CITY OF EVERETT PERMIT SERVICES `„�, <br /> 3200 CEOAR STREET, EVERETT, WA 98201 ��`' <br /> 425-Z57-88�0 - FAX 425-257-8857-w�,vw.�vr�retlwa.gov � <br /> ol �,� `-�S <br /> a`7 i S �t,�.�-�on �7``. 6-� So9�J6� <br /> �ROJECT ADDRESS - <br /> Nl��� oZ�!'�' �i'2c.��f�an S`1- �'��e/�' {�,ft q��� �aS��f9-- OI <br /> o�me� �� MNIIAddf015 � Ciry � Stito2p aFrono <br /> T2080i � Mdfl Ad6ro55 Gy SI�IeRip Phono <br /> �f'ZSSIo <br /> I�oPr��.�°cFn;�Se,e,�let, �� i38'PI. Sv.E, P,�t�e� � 4��s" �7„ <br /> ElCdtical ConlraGor Mnn ntltlrecc Ciry � Statc2ip Phono <br /> L�1-�1 t�E�S 9�1 r �� � 1� <br /> Sta1e License Number(required) City ol Everett 8usiness Licanse Numbar(required) <br /> �t r��1z ��, ��DU .. <br /> Proposed Use o(Bu np �— Cont�ad Price of Work <br /> ��S57c�71 ( 77/ <br /> �' �e��ccnf(-,,,o� <br /> SqualO Footage(If realdentinl new c�nstruciion, rt:modcl or addilion) Conlad Person�Contacl NumberlEmail <br /> Number Of 00vi� (l0��o�Li9el <br /> Drscriplion pf Work to Be Done�. 1 �(i�6 wLf� LC-K.J /���t.{��__�xl�1C�1G . (9-�lIGCL�1 f-U"�c(r� rC�f�t <br /> t— �— <br /> �Ol a,co_ 2 b�{, �c�� �-�-c 9 ,�o.<J�:�c�--, m�v� z �su�,c.� <br /> GvLo��e 2 1,���� �.:, I��as� -- <br /> FEE`n1— � <br /> CfTY OF EVERETT LOCAL SALES TAX CODE Ifi 1106 Y �� O� <br /> � <br /> I horuGy trodiF/lhnf I hnvea mnd und oxamino0 lhi��pplicution and know fhe s�mc ro 6c froc nnd <br /> cortec[ All pmvisians n(ln�os anA ordinnncas govr.m�ng fhis lyprt o1 work will bo CcmpfOfod --� - -- <br /> wnetnr.r spcoficd hcrcin ornof 7he gmnfmg oI a pe�nif doas nof presmno to give authonty fo DERMiTi1 <br /> violafe o�cancel Ihr,pmvisions ol any other sfnte or locol lnw mqularinp conslniction or fl�n <br /> pr.rformnncn of conshucfion. Thaf!am authorizod Ay fho ovmer of th�s pmperly to pr.dorm Ihr. E I���� � � <br /> work lor whicA pppllCpfion ia mudo und 1 conrply wifh fho Sfufc Controdoro Law 18.27 RCW ond <br /> 296.200 WAC. <br /> l.X��9�c� 4�-�'W�v� Q- 1�—�S <br /> Siyn�Wre mm� <br /> nc�rCe a oe,osaeu <br /> i0/i0 79yd �1�J1�31] �J3QtJv� 598LZ959Lh 6V�,i ;iRz/ei/Gp <br />