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i <br /> ' ELECTRlCAL PERMIT APPLICATI4N <br /> CITIf' OF EVERETT PERMIT SERVICES <br /> 320Q CEDAR STREET, EVERETi, WA 98201 <br /> � 425-257-8810 - FAX 42�257-8857 —w,�w.everettwa.ag <br /> � <br /> c,�{3 I S-O I `oo� <br /> 1000 SE Everelt Mal1 Way Suite 203 Everett WA 9820B � -- q � �J� <br /> � pROJECT ADORESS <br /> py,�� Mad AOOress rm. SutelZq Phore <br /> Edward.iones Same as projed address above ` <br /> Tenanl Ma��FWc,s C,�r StatdZp ?ha�e I <br /> � <br /> System TeGi 14253 1691h Dr SE Sude 787 Monr�e WA 98272 206-09�-6077 I <br /> E�ectnc�l Convactor '.tar�a:rc., c,-; S;a;c2��p ah:.nc <br /> SYSTET�904UR [verett Lcansm3 has my number on file I <br /> Sa+e lx�se N�mbar�requrcem r,Ky�t Ece�tt Bus�rtess��aenss rh,rtber!�,KeCJ <br /> IC�xnmertaal ESOO QO <br /> propouvf Use of Duilding Contracl Pnce of Wcrk <br /> � 1.100 He�b SlxewsberTY 253347-3683 <br /> I Square footaAe(II residonUal now construclion,remodel or addition) Contad PersonlContad Nurrber/Emad <br /> 14 cable 4 taceplates <br /> INumber o1 dnviws(if low wflage) <br /> pe5a�t�on ol Work ro Be Done� I�151311 3 10431 01 tA t21eGDrt�rnur�iGiUon C3bIB5 to a lotdl 014 f3CCp13Id5 <br /> FEE I <br /> CITY OF EVERETT LOCAL SAiES TAX GGDE IS 3105 f �� <br /> ! ✓ <br /> !hereDy ccrhly that!haw rvad and c raminod Nis apphcvtion and iorow the same(o Ge truv and <br /> � corred All provirons ef fa«s and ordinances govemmg th�;type ol wnrk nill De comdeted <br /> � whefher specilred herem or noc Tiro granhng o/a peimd dces nof presuma fo grve auflrorrty to PERMITu <br /> � �aalnrc or c�nml thc pv�4mavs olany anc�5•a7c o�locai lmr mgulalmg ronKrucrion o�tnc I r � I r� I , �� <br /> Iperfonnance ol aonshudion 7)raf f am autharzed by fhe ewrw�of this pvpe�ty fo peAarm Mo C ✓ <br /> rvrk lor whrh app�icr+oon is mada and I rnm�.'y wdh fhe S1efo CoMraQors l-aw 1 A 27 RCW nrrd <br /> � 796 200 WA C <br /> � � .; <br /> i <br /> l � ,z-�s-,n <br /> � ure � Uate <br /> _.__x�,. _l <br />