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)3/17/2Ji3 �UE ! �: 37 Fa:c 77J772550: aogere electxic �OJ3/ :07 <br /> • � <br /> ELECTRtCAL PEaMiIT APP�iCATlO�! � <br /> GITY OF EVERETT PERMIT SERVICES <br /> 3?.00 CEDAR STREET, EVERE'iT, WA 98201 <br /> 425-257-8610 - FAX 425-257-8857—wvnn�.everettwa.org <br /> � 5� <br /> I 113���; ��; ,� ��.t���t�,�q�0g I <br /> I PROJECT ADDRESS � I� �n 1_ /nNl <br /> . <br /> �'ti��,r� �l1_l__P_�.�z���b��h����� <br /> Owncr �}��a Cqy Slx!eZp Nho�O <br /> �'���l��S���F�P.�t����_.�u��,_l�l��rz� <br /> Ttlnant Ata'I Addross Cily Slate/Zlp Phcrc <br /> � . G3mers �L(: aD.S�01r�izca�i Ot; �51����rIlDhu�,�i��y'.r , 3c%�.S i <br /> EloUricol Contm r rr�,l Mdrooe ciry Stotoi7ip �'JU-�7a. Phann I <br /> ��. ���v�g��9s��� � 1S �D�, ��ir� <br /> �, S;ote Llconso Numhcr Conlmc Pricc of Work <br /> ! , � �u .�'�s��'�sE��1 <br /> � ProPo�of B�p��� Con t Person (Pinn Rovle�. 7/O� �7.�� <br /> i p <br /> _ ,.�t'jU 3�17� <br /> Squa�n Faota3n Qf re�aidenfel nev,r.onslrucUon,remodBl of Bddlllon) <br /> �C� _CLl�t� <br /> ' N11f11I1Hf OI�NViLH4(If lotv volt�g0) <br /> Coccrlpllon ol Work to Bn Donn: ��'l,ul��� i ,l' ��'Cl/�//�� ���(•Cf'���� _ , <br /> lns�iv��,�m aF � __���rT. /;���v Clii.�.u�S fn� r��5�1� <br /> (C�����COI7/zv� �,� la.�t� ��1� �lar�ri g�f��� <br /> FFt /� \) � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IB 3105 ��J G v `-� �. <br /> II hoioby cortlty flra(I Irovo�o�d and nxmninrd lhis applicd(ion nnAknow fhn anmo lo Ac Wo ond l� J <br /> r.nner.f. AI!provlslons allmvn nntl ordlnnncoc govorning this type oJ work�+ill be complefed <br /> ; whot/rdr5poc�frd he�rin or not ThA prenfirp of o pormlt dons nat prosumo fa grvo aufbonty fo PERMIT# <br /> ( vlolnto orcnn;ol fho prov/slnns of nny ofhersfafe or lacel la�v rer�uletinp mnsfrucllon or tho I�O ^, r O� <br /> peAormnnCo ol can^In�cllen. Thaf 1 mm�uthonzoA by(he owner o/lhis property fo pedomt!hn E ��( <br /> work/or which epplicetiw�is made onJ!comply�vlfh fho Sfofo Con�mc!ory Law 78.27 RCW end � <br /> 29�.200 WAC. <br /> ��i� `�/O�/.� _ <br /> pnaW �__ Uu� t�� <br /> fiFVlSFD L]IYI.Y - I <br /> � <br />